DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

HICKMAN MILLS C-1 SCHOOL DISTRICT

002521784

(816) 316-8501

9201 E BANNISTER RD
KANSAS CITY
MO  64134-2209

HICKMAN MILLS C-1 SCHOOL DISTRICT



 

OSBORN, SHARI LEIGH

shario@hickmanmills.org


MICHELLE RUFFIN

36 MONTHS - 6 YEARS

68

SCHOOL AGE

 
Inspection Information

06/21/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2350103623


DocumentDocument-Date
SAMPLE FORMS 02/24/2015
DIRECTOR'S QUALIFICATIONS 03/26/2015
DIAGRAM/INDOOR 11/24/2014
DISCIPLINE POLICIES 03/26/2015
CHILD CARE PRACTICES 03/26/2015
POLICIES 03/26/2015
DAILY SCHEDULE 03/26/2015
SAMPLE WEEKLY MENU 03/26/2015
JOB RESPONSIBILITIES 03/26/2015
LINES OF ADMINISTRATIVE AUTHORITY 03/26/2015
DIAGRAM/OUTDOOR 11/24/2014
CERTIFICATE OF GOOD STANDING 03/27/2015
EQUIPMENT LIST 01/16/2019
DIRECTOR'S JOB RESPONSIBILITIES 03/27/2015
STAFF SHEET 01/16/2019
APPLICATION 12/20/2018




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 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 Reviews were missing/out of date for the following owner(s), board president or chairperson, center director or group day care home provider, person(s) employed or volunteer(s) counted in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: Dianne Dollar, Stephanie Strong, Kierstan Welch, Sherry Harms, Julie Carleton, Terry Folden, Leslie Blomquist, Tanisha Waters, Shari Osborn.
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
6/3/2019
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
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 was not on file for Stephanie Strong as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
1/31/2019
19 CSR 30-62.132 Admission Policies and Procedures
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
Facility did not submit the 2018 annual summary report showing immunization status of each child enrolled by January 15.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (D) states: The administrator of each day care facility shall prepare a record of immunization of each child enrolled in or attending the facility. An annual summary report shall be made by January 15 showing the immunization status of each child enrolled, using forms provided by the department (see 19 CSR 40-61.185). The immunization records shall be available for review by department personnel upon request.
Correction Required
Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

Correction Verification
Submit Documentation

Compliance Date
2/22/2019
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