DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

INSPECTION REPORT
Facility Information






 




 










 
Inspection Information








DocumentDocument-Date
FIRE/SAFETY INSPECTION 10/30/2017
EQUIPMENT LIST 11/28/2017
STAFF SHEET 11/28/2017
APPLICATION 11/09/2017
CHILD CARE PRACTICES 12/04/2015
POLICIES 12/04/2015
DISCIPLINE POLICIES 12/04/2015
OWNER/PROVIDER REFERENCES 12/21/2015
LLC OPERATING AGREEMENT 11/30/2015
LOCAL ZONING APPROVAL 11/30/2015
DAILY SCHEDULE 12/15/2015
LINES OF ADMINISTRATIVE AUTHORITY 12/11/2015
JOB RESPONSIBILITIES 11/30/2015
LLC ARTICLES OF ORGANIZATION 11/12/2015
DIAGRAM/INDOOR 11/12/2015
DIAGRAM/OUTDOOR 11/12/2015
SAMPLE WEEKLY MENU 11/12/2015
DIRECTOR'S QUALIFICATIONS 11/12/2015
LOCAL FIRE DEPARTMENT NOTIFICATION 11/12/2015
SANITATION INSPECTION 11/30/2017




Open Violations:
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
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by mini blinds in both the infant/toddler and preschool rooms are broken. There are broken slats with sharp edges..
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
Return Inspection

Compliance Date

Violation
The facility has not met the requirements for state or local sanitation as evidenced by no approved annual sanitation inspection is on file.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.

Correction Verification
Return Inspection

Compliance Date

Violation
The facility has not met the requirements for fire and safety as evidenced by no approved annual fire safety inspection is on file.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.

Correction Verification
Return Inspection

Compliance Date

Violation
Children were not restricted to approved space as evidenced by the 1/2 door leading to the front desk and office is not locked or latched. Children have access to both areas.
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
Return Inspection

Compliance Date

Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was broken in that the top right corner was broken off an outlet cover in the infant/toddler unit. There is currently a pack and play propped against the wall covering the broken outlet.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Return Inspection

Compliance Date

Violation
Hazardous items as follows were accessible to children: Windex, one gallon paint can, 5 gallon paint bucket, various cleaning supplies and bleach. The item(s) was/were located on the front desk, in the office floor and in the open storage closet located in the office.
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
Return Inspection

Compliance Date

Violation
The walls located by the 1/2 door leading to the front desk was/were not in good condition as evidenced by sheetrock is exposed where something has scratched against the door and dug into the wall.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Return Inspection

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by there are several limbs down, laying on the ground.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Return Inspection

Compliance Date

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
Return Inspection

Compliance Date

Violation
The walls located in the infant/toddler unit was/were not clean as evidenced by the wall behind the high chairs and the wall by the food prep sink were soiled with debris and what appears to be something spilled.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Return Inspection

Compliance Date

Violation
The floors located in the hallway by the door leading to the playground was/were not in good condition as evidenced by one of the ceramic tiles is broken and pieces are missing.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Return Inspection

Compliance Date

Violation
The walls located located throughout the building was/were not in good condition as evidenced by as the sheet rock has ripped, paint has pulled away from the sheetrock leaving unfinished walls. .
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Return Inspection

Compliance Date

Violation
The premises were not safe and suitable as evidenced by mini blind cords are accessible in the preschool room.
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
Return Inspection

Compliance Date

19 CSR 30-62.087 Fire Safety
Not Observed
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Furniture/equipment, pack and plays, in the infant/toddler unit was not in good condition as evidenced by one pack and play had holes the size of a nickel, a second pack and play had holes the size of a quarter and the third pack and play had a hole that measured 3"X6".
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Return Inspection

Compliance Date

Violation
An exit located in the hallway was blocked by a large shelf. The shelf needs to be pushed further down the hallway, away from the door, to clear a better path of egress.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 2. states: Furniture and equipment shall be arranged to provide a clear passage to all exits.
Correction Required
Caregivers shall keep passageways to all exits clear.

Correction Verification
Return Inspection

Compliance Date

Violation
Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by no restraints are used.
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
Return Inspection

Compliance Date

Violation
The facility did not meet requirements for infant and toddler equipment as evidenced by toys were not washed when soiled.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (C) 1. states: Infants and toddlers shall have safe toys which shall be washed when soiled. Toys, parts of toys or other materials shall not be small enough to be swallowed. Toys and materials shall include a minimum of one (1) approved item from each of the following categories for each infant and toddler in the licensed capacity of the facility:
Correction Required
The facility shall provide safe, clean toys.

Correction Verification
Return Inspection

Compliance Date

Violation
Outdoor equipment, 4 seat bouncer, in the big playground was not in good condition as evidenced by one of the seats is missing.
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
Return Inspection

Compliance Date

Violation
Stationary equipment, 4 seat bouncer, was unsafe as evidenced by the equipment was not securely anchored.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.
Correction Required
Stationary equipment shall be safely installed, stable and securely anchored.

Correction Verification
Return Inspection

Compliance Date

Violation
Outdoor equipment, picnic table, in the infant/toddler playground was not in good condition as evidenced by the table top had several cracks.
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
Return Inspection

Compliance Date

Violation
Outdoor equipment, the turtle sandbox and wagon, in the infant/toddler playground was unsafe as evidenced by both items were filled to the top with water.
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
Return Inspection

Compliance Date

Violation
Furniture/equipment, various toys, in the infant/toddler room was not in good condition as evidenced by they were soiled with dust, dirt and debris.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Return Inspection

Compliance Date

Violation
Furniture/equipment, a baby stroller, in the preschool playground was not in good condition as evidenced by it is broken with sharp parts, laying on the concrete pad right outside the preschool playground door.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Return Inspection

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: Lakisha Humphrey needs 1.5 hours for 2017 and LeeQwaisha Moore needs 2 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
Return Inspection

Compliance Date
9/13/2018
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
Not Observed
19 CSR 30-62.152 Hourly Care Facilities
Not Observed
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
The requirements for administering medication were not met as follows: information was not filed in the child's record after the medication is no longer necessary.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (3) (I) states: The date and time(s) of administration, the name of the individual giving the medication and the quantity of any medication given shall be recorded promptly after administration. This information shall be filed in the child's record after the medication is no longer necessary.
Correction Required
All medication shall be administered and recorded as required.

Correction Verification
Corrected on Site

Compliance Date
11/6/2018
Violation
Requirements for handwashing were not met as evidenced by 2 children in the preschool room used the bathroom and did not wash their hands. Staff in the room never prompted the children to wash their hands.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (6) (B) states: Caregivers shall teach children to wash their hands before eating and after toileting.
Correction Required
Staff/children shall wash hands as required.

Correction Verification
Return Inspection

Compliance Date

19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
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