DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CDI HEAD START

002779515

(660) 351-4756

1025 E WOOTER ST
NEVADA
MO  64772-2761

CDI HEAD START

702 E OHIO ST
CLINTON
MO  64735-2371

BOYLES, AMY MELYNDA

dsmith@cditeam.org

Incorporated

BILLIE RUSSELL

6 WEEKS - 5 YEARS

77

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT; 6 CHILDREN UNDER 12 MONTHS
 
Inspection Information

07/12/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2360396005


DocumentDocument-Date
SANITATION INSPECTION 07/12/2019
FIRE/SAFETY INSPECTION 07/11/2019
APPLICATION 06/17/2019
DIAGRAM/INDOOR 06/17/2019
POLICIES 06/19/2019
CHILD CARE PRACTICES 06/19/2019
DISCIPLINE POLICIES 07/08/2019
JOB RESPONSIBILITIES 07/02/2019
EQUIPMENT LIST 07/02/2019
DAILY SCHEDULE 07/02/2019
ARTICLES OF INCORPORATION 06/19/2019
CERTIFICATE OF GOOD STANDING 07/02/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 07/08/2019
LINES OF ADMINISTRATIVE AUTHORITY 07/08/2019
SAMPLE WEEKLY MENU 07/08/2019
DIRECTOR'S QUALIFICATIONS 07/08/2019
STAFF SHEET 07/08/2019
SAFE SLEEP POLICY 07/08/2019
DIAGRAM/OUTDOOR 07/08/2019
LOCAL ZONING APPROVAL 07/09/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/08/2019




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
Violation
 Provider Comments
Violation
The provider had no evidence that sanitation inspection requirements had been met.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (D) 12. states: Evidence of compliance with local or state, or both, sanitation requirements;
Correction Required
Prior to the granting of a license, the facility shall meet sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date
7/12/2019
Violation
Evidence of local zoning approval was not received.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (D) 13. states: Evidence of compliance, if applicable, with local building and zoning requirements;
Correction Required
Prior to the granting of a license, the facility shall submit evidence of compliance with local building/zoning requirements.

Correction Verification
Submit Documentation

Compliance Date
7/9/2019
Violation
The provider had no evidence that fire safety requirements had been met.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (E) states: Prior to the granting of a license, the provider shall meet the requirements of 19 CSR 30-62.087 Fire Safety.
Correction Required
Prior to the granting of a license, the facility shall meet fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date
7/11/2019
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
Violation
 Provider Comments
Violation
The facility has not developed, implemented or maintained policies and procedures for responding to a disaster emergency.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (A) states: The facility shall develop, implement, and maintain policies and procedures for responding to a disaster emergency, including a written plan for:
Correction Required
Facility must have plan on file as required.

Correction Verification
Submit Documentation

Compliance Date
7/8/2019
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
An exit located in classroom 1, 2, and 3 was blocked by equipment and boxes.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 2. states: Furniture and equipment shall be arranged to provide a clear passage to all exits.
Correction Required
Caregivers shall keep passageways to all exits clear.

Correction Verification
Return Inspection

Compliance Date
7/12/2019
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 Marla Applegate, Heidi Larch, Chelsey Martinez, Amanda McIntyre, Shylo Webb and Christie Wolfe as evidenced by a medical examination was not on file at the facility at the time of initial licensure.
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
7/12/2019
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Marla Applegate, Heidi Larch, Amanda McIntyre, Marsha Ring, Shylo Webb and Christie Wolfe.
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
7/12/2019
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
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