DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

IMAGINATION STATION PRESCHOOL

002271447

(660) 829-2727

1109 E 13TH ST
SEDALIA
MO  65301

5S HOLDINGS LLC



 

MARTIN, ANGELA PEARL

is-preschool@att.net


SUSAN MARIE DOUGLAS

BIRTH - 6 YEARS

37

GROUP HOME AND CENTER

4 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

10/29/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2368005096


DocumentDocument-Date
JOB RESPONSIBILITIES 04/26/2011
SAMPLE FORMS 04/26/2011
SAMPLE WEEKLY MENU 04/26/2011
DIAGRAM/OUTDOOR 02/04/2011
DIAGRAM/INDOOR 02/04/2011
ARTICLES OF INCORPORATION 04/26/2011
LOCAL BUILDING APPROVAL 04/26/2011
DAILY SCHEDULE 03/09/2011
REGISTERING FICTITIOUS NAMES 01/25/2011
LLC ARTICLES OF ORGANIZATION 01/25/2011
LLC OPERATING AGREEMENT 03/08/2017
SAFE SLEEP POLICY 09/10/2018
FIRE/SAFETY INSPECTION 01/28/2019
LINES OF ADMINISTRATIVE AUTHORITY 03/01/2019
POLICIES 03/01/2019
DISCIPLINE POLICIES 03/01/2019
CHILD CARE PRACTICES 03/01/2019
SANITATION INSPECTION 02/25/2019
APPLICATION 03/01/2019
EQUIPMENT LIST 03/01/2019
STAFF SHEET 03/01/2019
CERTIFICATE OF GOOD STANDING 03/01/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/01/2019
DIRECTOR'S QUALIFICATIONS 03/21/2019
LOCAL ZONING APPROVAL 04/17/2019




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
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
Compliance
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
Requirements for safe sleep training were not met in that the following staff did not complete department-approved safe sleep training within the past three years: Samantha Walter .
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Safe Sleep Training. 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
10/9/2019
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Melissa Mugg .
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
10/29/2019
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
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance