DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MERCY HOSPITAL SPRINGFIELD

000180709

(417) 820-7955

1831 S FREMONT
SPRINGFIELD
MO  65804

MERCY HOSPITAL SPRINGFIELD

1235 E CHEROKEE ST
SPRINGFIELD
MO  65804-2203

GHAN, KARA GAY

Kara.Ghan@mercy.net

Incorporated

BILLIE RUSSELL

6 WEEKS - 12 YEARS

133

GROUP HOME AND CENTER

4 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

10/09/2019

10:00 AM

11:58 AM

ANNOUNCED

RENEWAL

2367920611


DocumentDocument-Date
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/09/2019
SAFE SLEEP POLICY 10/09/2019
SAMPLE WEEKLY MENU 10/24/1984
POLICIES 10/21/2009
LOCAL ZONING APPROVAL 10/05/2005
LOCAL BUILDING APPROVAL 10/05/2005
LINES OF ADMINISTRATIVE AUTHORITY 01/26/1982
JOB RESPONSIBILITIES 10/31/1997
DISCIPLINE POLICIES 10/21/2009
DIRECTOR'S QUALIFICATIONS 05/19/2006
DAILY SCHEDULE 10/24/1997
ARTICLES OF INCORPORATION 03/24/1982
CHILD CARE PRACTICES 10/21/2009
CERTIFICATE OF GOOD STANDING 08/29/2013
DIAGRAM/INDOOR 08/14/2014
DIAGRAM/OUTDOOR 08/15/2014
APPLICATION 09/26/2019
FIRE/SAFETY INSPECTION 07/29/2019
SANITATION INSPECTION 08/22/2019
STAFF SHEET 10/09/2019
EQUIPMENT LIST 10/09/2019




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 15
Total Children 56
StaffChildClass AgeNote
2 3 INFANTS AND TODDLERS
2 6 INFANTS AND TODDLERS
2 0 NO CHILDREN IN ATTENDANCE Director was present during inspection.
1 9 PRESCHOOL
2 9 PRESCHOOL
2 11 PRESCHOOL
2 10 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 board president: Brentt Hubbard.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (3) states: The facility owner(s), board president or chairperson, and the center director or group day care home provider, 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

Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Sydney Acton, Rachel Garrison, Kylie Hite, Jessica Jarrett, Linda Manning, Marie Wesley and Rebecca Wessel.
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
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
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 Paige Littrell 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

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
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance