DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

THE ADVENTURES OF LEARNING

002556685

(417) 724-3221

1911 FITZ LN
NIXA
MO  65714-8459

NORA, LLC



 

HENRY, CHELSEA LAUREN

theadventuresoflearning@gmail.com


ANGEL DONSON

6 WEEKS - 12 YEARS

84

GROUP HOME AND CENTER

11 CHILDREN IN THE INFANT/TODDLER UNIT; 4 CHILDREN UNDER 12 MONTHS; 11 CHILDREN UNDER 24 MONTHS
 
Inspection Information

10/07/2019

9:15 AM

12:04 PM

ANNOUNCED

RENEWAL

2367370231


DocumentDocument-Date
FIRE/SAFETY INSPECTION 08/05/2019
SANITATION INSPECTION 08/09/2019
STAFF SHEET 10/07/2019
EQUIPMENT LIST 10/07/2019
APPLICATION 09/05/2019
DISCIPLINE POLICIES 11/10/2015
CHILD CARE PRACTICES 11/10/2015
DAILY SCHEDULE 11/10/2015
JOB RESPONSIBILITIES 11/10/2015
LOCAL ZONING APPROVAL 11/24/2015
LOCAL BUILDING APPROVAL 12/03/2015
LOCAL FIRE DEPARTMENT NOTIFICATION 11/24/2015
LINES OF ADMINISTRATIVE AUTHORITY 09/16/2015
REGISTERING FICTITIOUS NAMES 09/23/2015
LLC OPERATING AGREEMENT 09/16/2015
LLC ARTICLES OF ORGANIZATION 09/16/2015
SAMPLE WEEKLY MENU 11/10/2015
DIAGRAM/INDOOR 08/09/2012
DIAGRAM/OUTDOOR 08/09/2012
DIRECTOR'S QUALIFICATIONS 11/10/2015
OWNER/PROVIDER REFERENCES 11/10/2015
SAFE SLEEP POLICY 10/29/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 10
Total Children 60
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS
1 3 INFANTS AND TODDLERS
1 6 MIXED Five children are two years of age
2 19 PRESCHOOL
1 10 PRESCHOOL
1 9 PRESCHOOL
2 8 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
Violation
 Provider Comments
Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Emily Fletcher, Haley Hall, Alyssa Goodlin, Scotlyn Weathersbee and Allison Schram.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (4) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that two electrical outlets did not have a cover.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
10/7/2019
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 Emily Fletcher and Lindsey Broussard 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 Emily Fletcher and Lindsey Broussard.
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
Compliance
19 CSR 30-62.182 Child Care Program
Compliance
19 CSR 30-62.192 Health Care
Violation
 Provider Comments
Violation
Medication was not disposed of or returned to the parent when no longer needed as evidenced medication for children that are no longer attending was presnet.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (3) (H) states: Medication shall be returned to the parent(s) or disposed of immediately when no longer needed.
Correction Required
Medication shall be inaccessible to children and handled as required.

Correction Verification
Corrected on Site

Compliance Date
10/7/2019
Violation
The requirements for nonprescription medications were not met as evidenced by a medication was not labeled by the parent with the child's name.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (3) (D) states: All nonprescription medication shall be in the original container and labeled by the parent(s) with the child's name, and instructions for administration, including the times and amounts for dosages.
Correction Required
Medications shall be stored and labeled as required.

Correction Verification
Corrected on Site

Compliance Date
10/7/2019
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
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance