DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT
Facility Information






 




 








 
Inspection Information








DocumentDocument-Date
APPLICATION 08/14/2019
CERTIFICATE OF GOOD STANDING 07/12/2019
LLC ARTICLES OF ORGANIZATION 07/12/2019
CHILD CARE PRACTICES 08/21/2019
DAILY SCHEDULE 08/21/2019
DIAGRAM/INDOOR 07/30/2019
DIRECTOR'S QUALIFICATIONS 08/23/2019
DIAGRAM/OUTDOOR 07/30/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/21/2019
DISCIPLINE POLICIES 08/21/2019
EQUIPMENT LIST 09/05/2019
JOB RESPONSIBILITIES 08/21/2019
FIRE/SAFETY INSPECTION 08/28/2019
LLC OPERATING AGREEMENT 07/12/2019
LINES OF ADMINISTRATIVE AUTHORITY 07/12/2019
POLICIES 08/21/2019
SAFE SLEEP POLICY 08/21/2019
SAMPLE WEEKLY MENU 08/21/2019
STAFF SHEET 09/05/2019
SAMPLE FORMS 09/05/2019
LOCAL BUILDING APPROVAL 09/05/2019
LOCAL ZONING APPROVAL 09/05/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 09/06/2019
SANITATION INSPECTION 11/22/2019




Open Violations:
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
Violation
 Provider Comments
Violation
The provider did not meet requirements for a criminal background check. Results were missing/out of date for the following child care staff member(s): Janene Menke, Chelsea Hoskin, Jodi Pyzska, Kylie Dochtermann, Chloe Simmons, Andria Crosby, Jessica Howard, Donyae Moore, Gabrielle Peters, and Brittany Pinkney.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (2) (K) states: Child care staff members, as defined in section 210.1080.1(1), RSMo shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to initial issuance of the license.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
12/10/2019
Violation
Provider did not submit requested information as evidenced by Fire Department Notification form not received.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (2) (D) 18. states: Other information required by the department to make a determination regarding licensure of the facility.
Correction Required
The facility shall submit other information required by the department for licensing.

Correction Verification
Submit Documentation

Compliance Date
9/6/2019
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 facility has not met the requirements for state or local sanitation as evidenced by state sanitation inspection on 8/27/19 was not approved.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date
11/22/2019
Violation
The floors located in the toddlers room was/were not in good condition as evidenced by two tiles were broken.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
10/15/2019
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
Compliance
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
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
9/26/2019
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by three children's files were missing permission for emergency medical care.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
9/17/2019
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
Violation
 Provider Comments
Violation
3 child(ren) records did not include date care begins and ends.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
9/17/2019
Violation
One child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (F) states: Field trip and transportation authorization.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
9/17/2019
Violation
Two child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
9/17/2019
Violation
10 child(ren) records did not include work telephone number 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
9/17/2019
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