DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ATCHISON COUNTY HEAD START - COMMUNITY SERVICES, INC.

000633541

(660) 744-2616

16635 US HIGHWAY 136
ROCK PORT
MO  64482

COMMUNITY SERVICES, INCORPORATED, OF NORTHWEST MISSOURI

PO BOX 328
MARYVILLE
MO  

CLARK, PATRICIA KAY

LAUFFERT@CSINWMO.ORG

Incorporated

PEGGY HASTINGS

36 MONTHS - 6 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

04/18/2019

1:35 PM

2:46 PM

UNANNOUNCED

COMPLIANCE MONITORING

2355008834


DocumentDocument-Date
CHILD CARE PRACTICES 10/03/1994
DAILY SCHEDULE 10/03/1994
DIAGRAM/OUTDOOR 10/03/1994
DIAGRAM/INDOOR 10/03/1994
DIRECTOR'S QUALIFICATIONS 06/29/2007
ARTICLES OF INCORPORATION 10/06/2014
CERTIFICATE OF GOOD STANDING 10/06/2016
REGISTERING FICTITIOUS NAMES 06/17/2014
LOCAL BUILDING APPROVAL 10/04/1994
LOCAL ZONING APPROVAL 10/04/1994
SAMPLE WEEKLY MENU 10/03/1994
DISCIPLINE POLICIES 10/03/1994
SAMPLE FORMS 10/03/1994
LINES OF ADMINISTRATIVE AUTHORITY 10/03/1994
POLICIES 10/03/1994
APPLICATION 09/26/2018
EQUIPMENT LIST 10/10/2018
STAFF SHEET 10/10/2018
SANITATION INSPECTION 10/30/2018
FIRE/SAFETY INSPECTION 10/25/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 4
Total Children 23
StaffChildClass AgeNote
2 11 PRESCHOOL *includes one school ager who rode the bus to center due to an early out at school. Staff person's child
2 12 PRESCHOOL

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Violation
 Provider Comments
Violation
The ages of children was exceeded as evidenced by a caregiver's school age child rode the bus to the center for the afternoon due to the school having an early out today..
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (W) states: The number and ages of children the facility is authorized to have in care at any one (1) time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The facility's license capacity and limitations shall not be exceeded.

Correction Verification
Corrected on Site

Compliance Date
4/18/2019
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 was not on file for Tabatha Allen 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

Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Tabetha Allen.
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

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
Not Observed
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
19 CSR 30-63.040 Background Screening Findings
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