DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

M AND P DAYCARE, LLC

002195780

(573) 783-6605

115 N MARTHA ST
MARQUAND
MO  63655

M AND P DAYCARE, LLC

3208 MADISON 320
MARQUAND
MO  63655-8633

KANNENBERG, PAMELA RENEE

kaw10@live.com


KATHY HARRIS

BIRTH - 12 YEARS

48

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT; 6 CHILDREN UNDER 12 MONTHS
 
Inspection Information

07/18/2018

10:34 AM

12:21 PM

UNANNOUNCED

COMPLIANCE MONITORING

2335739044


DocumentDocument-Date
LOCAL ZONING APPROVAL 01/13/2014
LINES OF ADMINISTRATIVE AUTHORITY 11/30/2009
LLC ARTICLES OF ORGANIZATION 11/30/2009
CHILD CARE PRACTICES 02/18/2010
POLICIES 02/18/2010
DAILY SCHEDULE 02/18/2010
SAMPLE WEEKLY MENU 02/18/2010
JOB RESPONSIBILITIES 02/18/2010
DISCIPLINE POLICIES 02/18/2010
DIAGRAM/INDOOR 02/18/2010
DIAGRAM/OUTDOOR 02/18/2010
LOCAL FIRE DEPARTMENT NOTIFICATION 12/21/2015
LLC OPERATING AGREEMENT 01/27/2016
APPLICATION 01/09/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/09/2018
SAFE SLEEP POLICY 01/09/2018
SANITATION INSPECTION 01/10/2018
DIRECTOR'S QUALIFICATIONS 10/21/2016
EQUIPMENT LIST 02/27/2018
STAFF SHEET 02/27/2018
FIRE/SAFETY INSPECTION 02/14/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 8
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 3
Total Children 22
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Dee Bucheitt
2 18 MIXED Preschool and School-age combined with Pamela Kannenberg and Alexis Turner

 
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
A clear glass door was not marked plainly at varying heights as evidenced by :no markings were on the double front glass doors.
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

Violation
The premises were not safe and suitable as evidenced by :the coat hooks in the infant/toddler unit have broken off, leaving sharp edges. Several of the hooks also project directly outward and present a protrusion hazard..
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
Submit Documentation

Compliance Date

Violation
Adequate adult supervision was not provided when children were outside. One child/ children were observed outside with no adult.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 3. states: Adult supervision shall be provided at all times when children are outside. For children three (3) years of age and above, staff/child ratios may be one and one-half (1 1/2) times the indoor staff/child ratios. The required indoor staff/child ratios shall be maintained on the premises at all times.
Correction Required
Adult supervision shall be provided at all times, maintaining ratios as required.

Correction Verification
Corrected on Site

Compliance Date
7/18/2018
19 CSR 30-62.087 Fire Safety
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The hangings/draperies in /throughout the facility (plastic beach balls and flotation rings hanging from the ceiling) were not treated with a flame retardant material.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (B) states: Hangings or draperies shall not be placed over exit doors or located to conceal or obscure any exit. All hangings and draperies shall be treated with a flame retardant material with verification of the treatment on file at the facility and available for review by the fire inspector.
Correction Required
Draperies and wall hanging must be flame retardant and not placed over exit doors.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
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 there was no medical examination report on file within 30 days of admission - the admission date(s) was/were unmarked/unknown.
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
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
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by 4 immunization record(s) was/were not on file .
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
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
One child(ren) records did not include date care begins and ends.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
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