DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

PAPER MOON NURSERY LLC

002692706

(573) 289-2151

551 SOUTHAMPTON DR
COLUMBIA
MO  65203-3057

PAPER MOON NURSERY LLC



 


jackiebnichols@gmail.com


LEKEL LYONS

BIRTH - 24 MONTHS

8

FAMILY HOME

8 CHILDREN UNDER 24 MONTHS; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS
 
Inspection Information

01/16/2020

7:58 AM

10:37 AM

ANNOUNCED

RENEWAL

2374232526


DocumentDocument-Date
APPLICATION 11/20/2019
ASSISTANT APPROVAL REQUEST 03/06/2018
ARTICLES OF INCORPORATION 01/19/2018
CHILD CARE/DISCIPLINE POLICIES 03/06/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/06/2018
DIAGRAM/INDOOR 03/06/2018
EQUIPMENT LIST 02/08/2018
POLICIES 02/08/2018
DAILY SCHEDULE 02/08/2018
LLC OPERATING AGREEMENT 03/06/2018
SAFE SLEEP POLICY 02/08/2018
SAMPLE FORMS 02/08/2018
OWNER/PROVIDER REFERENCES 03/06/2018
SAMPLE WEEKLY MENU 02/08/2018
SANITATION INSPECTION 02/05/2018
LLC ARTICLES OF ORGANIZATION 01/19/2018
FIRE/SAFETY INSPECTION 11/28/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 6
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 2
Total Children 7
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Melissa Gerner, and Emery Klepper

 
19 CSR 30-61.025 Organization and Administration
Compliance
19 CSR 30-61.045 Initial Licensing Information
Compliance
19 CSR 30-61.055 License Renewal
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Courtney Phillips, Jackie Nichols, Elizabeth Snyder, Meghan Sanders, Melissa Gerner, Emery Klepper, within 60 days prior to the expiration of the license.
Licensing Rule Reference
19 CSR 30-61.055 License Renewal (2) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within sixty (60) days prior to the expiration of the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all staff member(s) within sixty (60) days prior to the expiration of the license.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility had no evidence of compliance with sanitation requirements.
Licensing Rule Reference
19 CSR 30-61.055 License Renewal (1) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The child care provider shall submit evidence that sanitation requirements have been met.

Correction Verification
Submit Documentation

Compliance Date

Violation
The equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-61.055 License Renewal (1) (G) states: A current list of available equipment.
Correction Required
The child care provider shall submit an equipment list as required for renewal.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Compliance
19 CSR 30-61.086 Fire Safety
Compliance
19 CSR 30-61.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-61.095 Furniture, Equipment and Materials
Compliance
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Meghan Sanders needs 9 training hours.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant working more than five (5) hours per week shall meet the same training requirements. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each employee.

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 for Yohalil Sandoval, Melissa Gerner, prior to their employment or presence in a family child care home.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care 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

Violation
A facility orientation was notdocumented and available for review for all caregivers. The following staff need documentation of a facility orientation: Courtney Phillips.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (1) (I) . 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.
Correction Required
The child care provider 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

19 CSR 30-61.115 Day Care Family and Household
Compliance
19 CSR 30-61.125 Medical Examination Reports
Compliance
19 CSR 30-61.135 Admission Policies and Procedures
Compliance
19 CSR 30-61.145 Nighttime Care
Compliance
19 CSR 30-61.155 Overlap Care of Children
Compliance
19 CSR 30-61.165 Emergency School Closings
Compliance
19 CSR 30-61.175 Child Care Program
Compliance
19 CSR 30-61.185 Health Care
Compliance
19 CSR 30-61.190 Nutrition and Food Service
Compliance
19 CSR 30-61.200 Transportation and Field Trips
Compliance
19 CSR 30-61.210 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 210.115. Reports of abuse, neglect, and under age eighteen deaths - persons required to report - supervisors and administrators not to impede reporting - deaths required to be reported to the division or child fatality review panel, when - report made to another state, when.
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance