DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

TTLC - ES, LLC

002600475

(816) 637-9525

1452 KEARNEY RD
EXCELSIOR SPRINGS
MO  64024-1746

TTLC - ES, LLC



 

MOEHLMAN, LINDSEY NICOLE

LINDSEY@TALENTEDTOTS.ORG


JILL EILEEN ZEIGENBEIN

6 WEEKS - 12 YEARS

136

GROUP HOME AND CENTER

32 CHILDREN IN THE INFANT/TODDLER UNIT; 16 CHILDREN UNDER 12 MONTHS
 
Inspection Information

06/20/2019

12:15 PM

1:41 PM

UNANNOUNCED

CLOSE SUPERVISION

2359226675


DocumentDocument-Date
FIRE/SAFETY INSPECTION 07/10/2018
ARTICLES OF INCORPORATION 05/31/2016
CERTIFICATE OF GOOD STANDING 05/31/2016
CHILD CARE PRACTICES 05/31/2016
DAILY SCHEDULE 05/31/2016
DIAGRAM/INDOOR 05/31/2016
DIAGRAM/OUTDOOR 05/31/2016
DISCIPLINE POLICIES 05/31/2016
LINES OF ADMINISTRATIVE AUTHORITY 05/31/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 05/31/2016
SAMPLE WEEKLY MENU 05/31/2016
LLC OPERATING AGREEMENT 05/31/2016
SAMPLE FORMS 05/31/2016
POLICIES 05/31/2016
DIRECTOR'S QUALIFICATIONS 08/02/2016
APPLICATION 07/09/2018
SANITATION INSPECTION 05/21/2018
LLC ARTICLES OF ORGANIZATION 07/09/2018
STAFF SHEET 07/09/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 17
Total Children 111
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS
2 7 INFANTS AND TODDLERS
2 8 INFANTS AND TODDLERS
1 4 INFANTS AND TODDLERS
2 19 PRESCHOOL
2 10 PRESCHOOL
2 14 PRESCHOOL
2 25 SCHOOL AGE One 4 year old with school-age children. Age of children 4 - 10 years
2 16 TWO YEAR OLDS

 
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
Violation
 Provider Comments
Violation
Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by toy phone was in crib of child under 1 year.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. G states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items.
Correction Required
Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation.

Correction Verification
Corrected on Site

Compliance Date
6/20/2019
Violation
Infant sleeping requirements were not met as evidenced by blankets or other soft or loose bedding was observed on the side of the crib.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. H states: Blankets or other soft or loose bedding shall not be hung on the sides of cribs or put under the fitted sheet. Only sleep clothing that is designed to keep an infant warm without the possible hazard of covering the head or face may be used during sleep or nap time.
Correction Required
Infant sleeping requirements shall be met.

Correction Verification
Corrected on Site

Compliance Date
6/20/2019
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check for Sydnie Morrow prior to their employment or presence in a group child care home/child care center.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) states: The provider shall request the results of a criminal background check for child care staff members as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required requests of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements for safe sleep training were not met as evidenced by Sydnie Morrow did not complete safe sleep training in that she had not completed safe sleep training.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 128, No. 5, November 1, 2011, and available from the University of Vermont College of Medicine, Given Building S261, 89 Beaumont Avenue, Burlington, Vermont 05405-0068, telephone number 802-656-2505, fax number 802-656-4844, or at www.pediatrics.aapublications.org/content/128/5/1030.full. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Center director, group child care home provider, and other caregivers, and those volunteers counted in staff/child ratios shall complete department approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Caregiver-child ratio requirements were not met as evidenced by 25 children ages 4 - 10 were cared for by 2 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children.
Correction Required
Correct caregiver-child ratios shall be maintained.

Correction Verification
Return Inspection

Compliance Date

19 CSR 30-62.122 Medical Examination Reports
Not Observed
19 CSR 30-62.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
The policy did not include a requirement that children less than 1 year of age be placed on their backs to sleep.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) A. 2. states: A requirement that children less than one (1) year of age be placed on their backs to sleep.
Correction Required
The policy shall include a requirement that children less than one (1) year of age be placed on their backs to sleep.

Correction Verification
Submit Documentation

Compliance Date

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
Not Observed
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
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