DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

IMAGINATION STATION PRESCHOOL

002271447

(660) 829-2727

1109 E 13TH ST
SEDALIA
MO  65301

5S HOLDINGS LLC



 

ROHR, MELINDA SUE

is-preschool@att.net


SUSAN MARIE DOUGLAS

BIRTH - 6 YEARS

37

GROUP HOME AND CENTER

4 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

10/23/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2342617139


DocumentDocument-Date
LLC OPERATING AGREEMENT 03/08/2017
SAFE SLEEP POLICY 09/10/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/10/2018
LINES OF ADMINISTRATIVE AUTHORITY 04/26/2011
JOB RESPONSIBILITIES 04/26/2011
DIRECTOR'S QUALIFICATIONS 11/08/2010
SAMPLE FORMS 04/26/2011
SAMPLE WEEKLY MENU 04/26/2011
POLICIES 03/09/2011
DIAGRAM/OUTDOOR 02/04/2011
DIAGRAM/INDOOR 02/04/2011
ARTICLES OF INCORPORATION 04/26/2011
LOCAL ZONING APPROVAL 04/26/2011
LOCAL BUILDING APPROVAL 04/26/2011
DAILY SCHEDULE 03/09/2011
REGISTERING FICTITIOUS NAMES 01/25/2011
LLC ARTICLES OF ORGANIZATION 01/25/2011
DISCIPLINE POLICIES 03/09/2011
CHILD CARE PRACTICES 03/09/2011
SANITATION INSPECTION 03/16/2018
APPLICATION 03/08/2017
EQUIPMENT LIST 03/08/2017
FIRE/SAFETY INSPECTION 02/26/2018
STAFF SHEET 03/08/2017
CERTIFICATE OF GOOD STANDING 01/25/2011




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
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
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Tamera.
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
10/19/2018
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
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