DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

UNDER THE SON, LLC

002602991

(417) 259-9932

212 E 1ST ST
MOUNTAIN GROVE
MO  65711-1701

UNDER THE SON, LLC

8414 WHETSTONE RD
MOUNTAIN GROVE
MO  65711-2556

FISHER, CHEYANNE RENE

crjarrett20@hotmail.com

Incorporated

ELAINE S COX

BIRTH - 12 YEARS

50

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT; 5 CHILDREN UNDER 12 MONTHS; 42 FULL DAY PRESCHOOL CHILDREN
 
Inspection Information

12/19/2019

1:49 PM

2:15 PM

UNANNOUNCED

REINSPECTION

2372023075


DocumentDocument-Date
FIRE/SAFETY INSPECTION 03/21/2019
LLC ARTICLES OF ORGANIZATION 05/31/2016
POLICIES 06/29/2016
LOCAL ZONING APPROVAL 07/22/2016
DISCIPLINE POLICIES 08/11/2016
CHILD CARE PRACTICES 08/11/2016
JOB RESPONSIBILITIES 08/11/2016
DAILY SCHEDULE 08/11/2016
DIAGRAM/INDOOR 08/11/2016
DIAGRAM/OUTDOOR 08/11/2016
SAMPLE WEEKLY MENU 08/11/2016
LINES OF ADMINISTRATIVE AUTHORITY 08/11/2016
APPLICATION 05/23/2018
SAFE SLEEP POLICY 08/11/2016
DIRECTOR'S QUALIFICATIONS 02/21/2018
LOCAL BUILDING APPROVAL 08/11/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 06/01/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/01/2018
LLC OPERATING AGREEMENT 06/01/2018
STAFF SHEET 06/01/2018
EQUIPMENT LIST 06/14/2018
SANITATION INSPECTION 05/23/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   8/16/2016



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 4
Total Children 20
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS
2 15 MIXED 4 two year old children with this group of napping preschool age children

 
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
Violation
 Provider Comments
Violation
The observed surface area under swing, from which a child might fall consists of bare soil.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.
Correction Required
The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

Correction Verification
Submit Documentation

Compliance Date
12/19/2019
Violation
Children were not restricted to approved space as evidenced by chest freezer in kitchen not locked, doors to kitchen were open.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Submit Documentation

Compliance Date
12/19/2019
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
Violation
 Provider Comments
Violation
The requirements for sleeping materials were not met as evidenced by 4 children 12 months or older, who nap or sleep, did not have a sheet.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.

Correction Verification
Submit Documentation

Compliance Date
12/19/2019
Violation
Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by muslin blanket observed in playpen with a sleeping 8 month old child.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. G states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items.
Correction Required
Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation.

Correction Verification
Return Inspection

Compliance Date
12/19/2019
19 CSR 30-62.102 Personnel
Not Observed
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Not Observed
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
Violation
 Provider Comments
Violation
Requirements for supervision of napping or sleeping children were not met as evidenced by the caregiver was present with napping children but was unable to see and hear all children.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (A) 5. states: A caregiver shall remain in the room with preschool and school-age children while they are napping or sleeping and shall be able to see and hear them if they have difficulty during napping or when they awaken.
Correction Required
A caregiver shall be in the room with napping children, and shall be able to see and hear them.

Correction Verification
Submit Documentation

Compliance Date
12/19/2019
19 CSR 30-62.192 Health Care
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 3 child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
2 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
1 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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