DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CIRCUS-CIRCUS DAY CARE CENTER, INC.

000276222

(417) 257-7603

1016 ST. LOUIS ST
WEST PLAINS
MO  65775

CIRCUS CIRCUS DAY CARE CENTER INC



 

KIRKLAND, LISA MARIE

circusdaycare@gmail.com

Incorporated

KATHY HARRIS

BIRTH - 13 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

05/17/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2356744338


DocumentDocument-Date
LOCAL ZONING APPROVAL 08/29/2013
POLICIES 04/27/1993
SAMPLE WEEKLY MENU 04/27/1993
DIRECTOR'S QUALIFICATIONS 04/27/1993
DISCIPLINE POLICIES 04/27/1993
DIAGRAM/OUTDOOR 04/27/1993
DIAGRAM/INDOOR 04/27/1993
CHILD CARE PRACTICES 04/27/1993
ARTICLES OF INCORPORATION 04/27/1993
STAFF SHEET 08/19/2013
CERTIFICATE OF GOOD STANDING 09/13/2013
OWNER/PROVIDER REFERENCES 02/01/1993
DAILY SCHEDULE 03/17/2015
APPLICATION 09/13/2017
EQUIPMENT LIST 09/13/2017
SANITATION INSPECTION 08/25/2017
LINES OF ADMINISTRATIVE AUTHORITY 11/02/2005
JOB RESPONSIBILITIES 10/19/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 09/15/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/20/2018
SAFE SLEEP POLICY 07/12/2016
FIRE/SAFETY INSPECTION 06/14/2018

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   8/19/2016



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
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
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: Lisa Kirkland needs 6 training hours for 2018; Melissa Tiger needs 1.5 training hours for 2018; Chyane Hood needs 2 training hours for 2018; Kylie Pingleton needs 2 training hours for 2018; and Heather Meyers needs 2 training hours for 2018.
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
Submit Documentation

Compliance Date
5/16/2019
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 Chyane Hood and Heather Meyers.
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
5/16/2019
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
Violation
 Provider Comments
Violation
The diapering table or other approved area was not cleaned thoroughly with a disinfectant after each use.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (E) 2. states: The diapering table shall be cleaned thoroughly with a disinfectant after each use.
Correction Required
The facility shall provide a safe diapering table and cleaned as required.

Correction Verification
Submit Documentation

Compliance Date
5/16/2019
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