DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CLEVER RV SCHOOL DISTRICT

001355966

(417) 743-4810

103 S PUBLIC AVE
CLEVER
MO  65631-9103

CLEVER RV SCHOOL DISTRICT



 

TEAGUE, MICHELLE

teaguem@cleverbluejays.org


ANGEL DONSON

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

02/13/2020

9:14 AM

11:15 AM

ANNOUNCED

RENEWAL

2374948388


DocumentDocument-Date
FIRE/SAFETY INSPECTION 11/19/2019
SANITATION INSPECTION 11/07/2019
APPLICATION 02/05/2020
LINES OF ADMINISTRATIVE AUTHORITY 02/18/2000
DIRECTOR'S QUALIFICATIONS 04/03/2007
CHILD CARE PRACTICES 02/07/2000
SAMPLE WEEKLY MENU 02/18/2000
DAILY SCHEDULE 02/07/2000
POLICIES 02/18/2000
DIAGRAM/OUTDOOR 03/24/2000
DIAGRAM/INDOOR 03/24/2000
LOCAL ZONING APPROVAL 03/24/2000
LOCAL BUILDING APPROVAL 03/24/2000
STAFF SHEET 02/26/2018
EQUIPMENT LIST 02/26/2018
DISCIPLINE POLICIES 02/07/2000
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/14/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 32
StaffChildClass AgeNote
2 18 PRESCHOOL Staff- Kerry W and Melissa L
2 14 PRESCHOOL Staff- Laura B nd Tracey G

 
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
Violation
 Provider Comments
Violation
The application for renewal of the facility's license was not filed at least sixty (60) days prior to expiration of the license.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) . states: An application for license renewal shall be filed at least sixty (60) days prior to expiration of the license. In addition, the following information is required:
Correction Required
The facility shall submit an application as required for renewal.

Correction Verification
Submit Documentation

Compliance Date
2/5/2020
Violation
The facility's equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (I) states: A current list of available equipment;
Correction Required
The facility shall submit an equipment list as required for renewal.

Correction Verification
Submit Documentation

Compliance Date

Violation
The staff sheet was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (J) states: Current staff sheet;
Correction Required
The facility shall submit a current staff sheet as required for renewal.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Laura Brosius and Maria Gomez.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (4) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The facility's outdoor space was not safe for children's activities as evidenced by bolt on pea gravel boarder is raised.
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
1/31/2020
19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility's evacuation route diagram was not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room;
Correction Required
Facility must post information as required.

Correction Verification
Submit Documentation

Compliance Date
1/31/2020
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The department did not receive notification of a director change.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (A) 5. states: The center owner(s), or the board president or chairperson, shall notify the department immediately when there is a change of directors and shall submit child abuse/neglect screening information as required by 19 CSR 30-62.042 Initial Licensing Information.
Correction Required
The facility shall notify SCCR immediately when there is a change of directors and submit required background check request.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Laura Brosius.
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
1/31/2020
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 210.115. 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