DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SHEPHERD'S TREE HOUSE LLC

002423201

(417) 778-6003

308 SHEPHERDS LANE
ALTON
MO  65606

SHEPHERD'S TREE HOUSE LLC

PO BOX 429
ALTON
MO  65606-0429


shepherdstreehouse@outlook.com


RONDA TUSCHHOFF

6 WEEKS - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

12/09/2019

10:10 AM

11:01 AM

UNANNOUNCED

COMPLIANCE MONITORING

2371140458


DocumentDocument-Date
SAMPLE WEEKLY MENU 08/26/2013
POLICIES 08/26/2013
LOCAL ZONING APPROVAL 08/26/2013
LOCAL BUILDING APPROVAL 08/26/2013
LLC ARTICLES OF ORGANIZATION 09/05/2013
LINES OF ADMINISTRATIVE AUTHORITY 08/26/2013
JOB RESPONSIBILITIES 08/26/2013
DISCIPLINE POLICIES 08/26/2013
DIRECTOR'S QUALIFICATIONS 08/23/2013
DIAGRAM/OUTDOOR 08/26/2013
DIAGRAM/INDOOR 08/26/2013
DAILY SCHEDULE 08/26/2013
CHILD CARE PRACTICES 08/26/2013
CERTIFICATE OF GOOD STANDING 09/05/2013
STAFF SHEET 07/18/2019
EQUIPMENT LIST 07/18/2019
APPLICATION 07/18/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 07/14/2017
FIRE/SAFETY INSPECTION 05/22/2019
SANITATION INSPECTION 06/26/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:45PM   5:00PM   2/22/2017
  7:15AM   8:00AM   2/22/2017



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 5
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 3
Total Children 15
StaffChildClass AgeNote
3 15 MIXED Staff Present: Ginger Gazaway, Mikayla King, Aubrey King. Children Present: 15 children including 4 under age 2 years.

 
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
Violation
 Provider Comments
Violation
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by there is a screw protruding from the planter box, there are two bolts jutting horizontally from the basket hoop on the bench.
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

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
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Michaela King, Chloe Axelson, Hannah Steele.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (J) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

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: Hannah Steele.
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

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Compliance
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
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
Compliance
19 CSR 30-62.192 Health Care
Violation
 Provider Comments
Violation
There was no evidence that the 1 child(ren) had begun the immunization process.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (B) 1. states: Satisfactory evidence is produced that the child has begun the process of immunization (see form at 19 CSR 40-61.185). The child may continue to attend as long as the immunization process is being accomplished according to the ACIP/Missouri Department of Health recommended schedule;
Correction Required
Facility shall obtain evidence of immunizations in progress per ACIP/Missouri Department of Health recommended schedule.

Correction Verification
Submit Documentation

Compliance Date

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