DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

HAND IN HAND, LLC

002096520

(816) 628-2807

205 SOUTHBROOK PKY
KEARNEY
MO  64060-7503

HAND IN HAND, LLC



 

WILLIAMS, JULIE ANN



JILL EILEEN ZEIGENBEIN

6 WEEKS - 14 YEARS

60

GROUP HOME AND CENTER

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

12/16/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2372193904


DocumentDocument-Date
DISCIPLINE POLICIES 06/20/2008
LLC OPERATING AGREEMENT 03/25/2008
LINES OF ADMINISTRATIVE AUTHORITY 03/25/2008
JOB RESPONSIBILITIES 06/03/2008
DIRECTOR'S QUALIFICATIONS 03/27/2008
SAMPLE FORMS 03/13/2012
SAMPLE WEEKLY MENU 06/17/2008
DAILY SCHEDULE 06/03/2008
POLICIES 06/20/2008
DIAGRAM/OUTDOOR 03/26/2008
DIAGRAM/INDOOR 03/26/2008
LOCAL ZONING APPROVAL 03/25/2008
LOCAL BUILDING APPROVAL 03/25/2008
LLC ARTICLES OF ORGANIZATION 01/27/2014
APPLICATION 01/10/2018
CERTIFICATE OF GOOD STANDING 04/03/2018
STAFF SHEET 04/03/2018
EQUIPMENT LIST 04/03/2018
SAFE SLEEP POLICY 04/03/2018
SANITATION INSPECTION 02/09/2018
FIRE/SAFETY INSPECTION 02/27/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   8/10/2012



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
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
11/21/2019
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
Violation
 Provider Comments
Violation
Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a non-fitted sheet was used.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. D. states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used. Only fitted sheet shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date
11/21/2019
Violation
Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by a pillow was being stored in a crib.
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
Submit Documentation

Compliance Date
11/21/2019
19 CSR 30-62.102 Personnel
Compliance
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
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