DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LIL' DREAMERS CHILDCARE, LLC

002505113

(417) 326-5437

815 S MAIN AVE
BOLIVAR
MO  65613-2433

LIL' DREAMERS CHILDCARE, LLC



 

BRIXEY, MICAH KAY

lildreamerschildcare@hotmail.com


GINA HOHENSEE

BIRTH - 12 YEARS

54

GROUP HOME AND CENTER

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

11/01/2019

12:01 PM

12:40 PM

UNANNOUNCED

REINSPECTION

2368352993


DocumentDocument-Date
APPLICATION 10/17/2018
DIRECTOR'S QUALIFICATIONS 01/12/2015
LLC ARTICLES OF ORGANIZATION 11/16/2014
SAMPLE WEEKLY MENU 01/12/2015
DAILY SCHEDULE 01/12/2015
JOB RESPONSIBILITIES 01/12/2015
DISCIPLINE POLICIES 01/12/2015
CHILD CARE PRACTICES 01/12/2015
SAMPLE FORMS 01/12/2015
LINES OF ADMINISTRATIVE AUTHORITY 01/12/2015
SAFE SLEEP POLICY 01/12/2015
POLICIES 11/20/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 11/20/2018
LLC OPERATING AGREEMENT 11/20/2018
LOCAL BUILDING APPROVAL 11/20/2018
DIAGRAM/INDOOR 11/20/2018
EQUIPMENT LIST 11/21/2018
DIAGRAM/OUTDOOR 11/21/2018
STAFF SHEET 11/02/2018
FIRE/SAFETY INSPECTION 11/21/2018




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.
Attendance at Time of Inspection
Total Staff 4
Total Children 21
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS 3 over 12 months of age 4 under 12 months of age
1 8 PRESCHOOL Plus 1 director, 1 floating caregiver, and 1 cook
1 6 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
Not Observed
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
Not Observed
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check prior to employment or presence in the facility for the following staff: Alexandra Miller .
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) states: The provider shall request the results of a criminal background check for child care staff members as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required requests of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
11/1/2019
19 CSR 30-62.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Caregiver-child ratio requirements were not met as evidenced by 7 children ages 3-5 years old 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
11/1/2019
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report was not on file for Jessica Flowers 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
11/1/2019
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Tabatha Thomas.
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
11/1/2019
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
Not Observed
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.
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.
Not Observed