DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CCMH CHILD CARE CENTER

002712603

(660) 542-1815

1202 N US HIGHWAY 65
CARROLLTON
MO  64633-1977

CCMH CHILD CARE CENTER



 

SOUTHARD, AMBER JO

AMBERS@CCMHOSPITAL.ORG

Incorporated

JILL EILEEN ZEIGENBEIN

6 WEEKS - 10 YEARS

40

GROUP HOME AND CENTER

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

07/31/2019

12:05 PM

1:02 PM

UNANNOUNCED

REINSPECTION

2360446480


DocumentDocument-Date
DIAGRAM/INDOOR 05/31/2018
DIAGRAM/OUTDOOR 05/31/2018
SAFE SLEEP POLICY 05/31/2018
LOCAL ZONING APPROVAL 05/31/2018
STAFF SHEET 05/31/2018
EQUIPMENT LIST 05/31/2018
SAMPLE WEEKLY MENU 05/31/2018
POLICIES 05/31/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 05/31/2018
CERTIFICATE OF GOOD STANDING 05/31/2018
ARTICLES OF INCORPORATION 05/31/2018
SAMPLE FORMS 05/31/2018
APPLICATION 04/20/2018
SANITATION INSPECTION 03/19/2019
FIRE/SAFETY INSPECTION 02/05/2019
JOB RESPONSIBILITIES 05/31/2018
DIRECTOR'S QUALIFICATIONS 05/31/2018
DISCIPLINE POLICIES 05/31/2018
LINES OF ADMINISTRATIVE AUTHORITY 05/31/2018
REGISTERING FICTITIOUS NAMES 05/31/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/31/2018
CHILD CARE PRACTICES 05/31/2018
LOCAL BUILDING APPROVAL 05/31/2018
DAILY SCHEDULE 05/31/2018




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 6
Total Children 20
StaffChildClass AgeNote
2 3 INFANTS AND TODDLERS
3 15 PRESCHOOL
0 1 PRESCHOOL 1 child in kitchen without staff present
1 1 TWO YEAR OLDS

 
19 CSR 30-62.032 Organization and Administration
Not Observed
19 CSR 30-62.042 Initial Licensing Information
Not Observed
19 CSR 30-62.052 License Renewal
Not Observed
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Children were not restricted to approved space as evidenced by 1 child was in the kitchen without an adult which is not approved space..
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Return Inspection

Compliance Date

Violation
Hazardous items as follows were accessible to children: cleaning supplies. The item(s) was/were located in the kitchen under the sink which does not have a lock.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Return Inspection

Compliance Date

Violation
The observed surface area under slide, from which a child might fall consists of bare soil.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.
Correction Required
The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

Correction Verification
Submit Documentation

Compliance Date
7/31/2019
Violation
The facility's outdoor space was not safe for children's activities as evidenced by exposed tarp on ground in play area.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
7/31/2019
19 CSR 30-62.087 Fire Safety
Not Observed
19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
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 a soft toy was observed in the playpen with a child napping. 2 playpens and 1 crib were being used as storage.
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
Submit Documentation

Compliance Date
7/31/2019
19 CSR 30-62.102 Personnel
Not Observed
19 CSR 30-62.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Caregiver-child ratio requirements were not met as evidenced by 1 children ages 4 were cared for by 0 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (C) states: Ages Three Through Four (3 - 4) Years. Groups composed solely of three (3)- and four (4)-year olds shall have no less than one (1) adult to ten (10) 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
Not Observed
19 CSR 30-62.142 Nighttime Care
Not Observed
19 CSR 30-62.152 Hourly Care Facilities
Not Observed
19 CSR 30-62.162 Overlap Care of Children
Not Observed
19 CSR 30-62.172 Emergency School Closings
Not Observed
19 CSR 30-62.182 Child Care Program
Not Observed
19 CSR 30-62.192 Health Care
Not Observed
19 CSR 30-62.202 Nutrition and Food Service
Violation
 Provider Comments
Violation
The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by no grain was served with lunch.
Licensing Rule Reference
19 CSR 30-62.202 Nutrition and Food Service (1) (A) states: The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule.
Correction Required
Nourishing food shall be provided as required.

Correction Verification
Return Inspection

Compliance Date

Violation
One serving of fluid milk was not served with each meal.
Licensing Rule Reference
19 CSR 30-62.202 Nutrition and Food Service (1) (E) states: One (1) serving of fluid milk shall be served with each meal.
Correction Required
Milk shall be served as required.

Correction Verification
Submit Documentation

Compliance Date
7/31/2019
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
19 CSR 30-62.222 Records and Reports
Not Observed
19 CSR 30-63.040 Background Screening Findings
Not Observed
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Not Observed