DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

HAWKINS DAYCARE, LLC

002392067

(816) 297-2842

220 SKYLINE DR
ADRIAN
MO  64720

HAWKINS DAYCARE, LLC



 

SELF, DEANA GAYLE

hawkinsdaycare@hotmail.com


TIM PHILLIPS

6 WEEKS - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

12/13/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2346358334


DocumentDocument-Date
SAFE SLEEP POLICY 06/26/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/26/2018
SAMPLE WEEKLY MENU 01/11/2013
POLICIES 01/11/2013
LOCAL ZONING APPROVAL 01/14/2013
LOCAL FIRE DEPARTMENT NOTIFICATION 01/11/2013
LLC ARTICLES OF ORGANIZATION 01/24/2013
LINES OF ADMINISTRATIVE AUTHORITY 01/11/2013
DISCIPLINE POLICIES 01/11/2013
DIRECTOR'S QUALIFICATIONS 02/15/2013
DIAGRAM/OUTDOOR 01/11/2013
DIAGRAM/INDOOR 01/11/2013
DAILY SCHEDULE 01/11/2013
CHILD CARE PRACTICES 01/11/2013
JOB RESPONSIBILITIES 01/11/2013
FIRE/SAFETY INSPECTION 12/13/2018
STAFF SHEET 11/27/2018
EQUIPMENT LIST 11/27/2018
APPLICATION 11/27/2018
SANITATION INSPECTION 10/31/2018

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:20PM   4:20PM   12/19/2016
  6:45AM   7:45AM   12/19/2016



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
Violation
 Provider Comments
Violation
The fire inspection was not conducted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee;
Correction Required
The facility shall submit evidence of compliance with fire and safety requirements for renewal.

Correction Verification
Submit Documentation

Compliance Date
12/13/2018
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 Carrie Cumpton.
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
12/13/2018
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
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance