DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SULLIVAN MONTESSORI, INC.

000175662

(573) 468-3388

10 BUD ST
SULLIVAN
MO  63080

SULLIVAN MONTESSORI, INC.



 

GROSS, SAMANTHA

director@sullivanmontessori.org

Incorporated

LEATRICE L DIXON

6 WEEKS - 6 YEARS

49

GROUP HOME AND CENTER

15 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/13/2020

10:42 AM

1:59 PM

UNANNOUNCED

COMPLIANCE MONITORING

2375697981


DocumentDocument-Date
LOCAL BUILDING APPROVAL 11/09/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 11/16/2018
SANITATION INSPECTION 01/14/2020
FIRE/SAFETY INSPECTION 01/27/2020
CERTIFICATE OF GOOD STANDING 04/25/2018
DIRECTOR'S QUALIFICATIONS 04/26/2018
EQUIPMENT LIST 05/22/2018
SAFE SLEEP POLICY 05/22/2018
DIAGRAM/OUTDOOR 05/22/2018
ARTICLES OF INCORPORATION 05/22/2018
DIAGRAM/INDOOR 05/22/2018
APPLICATION 08/10/2018
STAFF SHEET 08/10/2018
LINES OF ADMINISTRATIVE AUTHORITY 08/10/2018
SAMPLE WEEKLY MENU 08/10/2018
DAILY SCHEDULE 08/10/2018
CHILD CARE PRACTICES 08/10/2018
POLICIES 08/10/2018
DISCIPLINE POLICIES 08/10/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/10/2018
LOCAL ZONING APPROVAL 08/02/2018
JOB RESPONSIBILITIES 08/10/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 7
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 12
Total Children 38
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Emily Hardecke and Corey Thomaczek with children ages 1 to 2 years
3 6 INFANTS AND TODDLERS Samantha Kick, Patricia Dishman, and Cassidy Groh with children ages 8 months to 1 year
2 11 MIXED Avery Carey and Bethani Gower ages 2 to 5 years (6 were age 2 years)
2 0 NO CHILDREN IN ATTENDANCE Grace Schatz and Madison Rudisill with no children (Grace returned from break and Madison was working in the kitchen)
1 0 NO CHILDREN IN ATTENDANCE Tara Epperson, designated person in charge
2 14 PRESCHOOL Gretchen Piofcyk and Gail Hardecke with children ages 3 to 5

 
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 provider did not provide resilient material necessary for the protection of children as evidenced by there is insufficient pea gravel under the monkey bars.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 6. states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children.
Correction Required
Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

Correction Verification
Submit Documentation

Compliance Date

Violation
There was evidence of dirt/debris in on the stairway children take to the lower level.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Submit Documentation

Compliance Date

Violation
The walls located in the 2 year old room (the wall near the eating area), in the "connection" room (under the chair rail on the front wall) and the bathroom in the toddler room (near the sink) was/were not in good condition as evidenced by paint is chipping and dry wall has small holes.
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

19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility’s list of emergency numbers was not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station;
Correction Required
Facility must post information as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The director is not routinely on duty as required, as evidenced by there is no approved director.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (A) 2. states: Center directors and group day care home providers routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group day care home provider shall be on duty at least fifty percent (50%) of the operating hours.
Correction Required
The director/group day care home provider shall be routinely on duty as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Erin Beckmann needs an additional 1.50 clock hrs for 2019, Grace Schatz needs an additional 1.50 hrs for 2019.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. 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

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Patricia Dishman and Lisa Braun.
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

19 CSR 30-62.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by 1 Child did not have emergency care authorization.
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
Corrected on Site

Compliance Date
2/13/2020
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 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
Corrected on Site

Compliance Date
2/13/2020
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
Corrected on Site

Compliance Date
2/13/2020
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