DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

FAMILY LIFE COMMUNITY SERVICES

002536161

(417) 447-9000

1126 N BROADWAY AVE
SPRINGFIELD
MO  65802-4158

FAMILY LIFE COMMUNITY SERVICES



 

HAHN, ELIZABETH MAE

liz@life360.org

Incorporated

HEATHER E RADNEY

BIRTH - 12 YEARS

49

GROUP HOME AND CENTER

6 CHILDREN UNDER 12 MONTHS; 8 CHILDREN UNDER 24 MONTHS; 34 FULL DAY PRESCHOOL CHILDREN
 
Inspection Information

02/20/2020

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2375993057


DocumentDocument-Date
CERTIFICATE OF GOOD STANDING 12/05/2019
STAFF SHEET 12/05/2019
EQUIPMENT LIST 12/05/2019
APPLICATION 12/05/2019
DISCIPLINE POLICIES 01/17/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/17/2020
SANITATION INSPECTION 01/17/2020
FIRE/SAFETY INSPECTION 01/17/2020
ARTICLES OF INCORPORATION 05/29/2015
CHILD CARE PRACTICES 01/29/2016
DAILY SCHEDULE 12/11/2015
DIAGRAM/INDOOR 12/29/2015
DIAGRAM/OUTDOOR 12/29/2015
DIRECTOR'S QUALIFICATIONS 12/29/2015
JOB RESPONSIBILITIES 12/29/2015
LINES OF ADMINISTRATIVE AUTHORITY 12/29/2015
LOCAL ZONING APPROVAL 12/29/2015
POLICIES 01/29/2016
SAMPLE WEEKLY MENU 12/11/2015
LOCAL FIRE DEPARTMENT NOTIFICATION 01/09/2018
SAFE SLEEP POLICY 01/10/2018

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   1/6/2016



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 walls located in the IT unit and the 2 year old room was/were not finished with material which can be cleaned easily as evidenced by chipping paint.
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
1/31/2020
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
Furniture/equipment, baby swing, in the IT unit was unsafe as evidenced by safety straps were missing.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date
1/31/2020
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check prior to employment or presence in the facility for the following staff: Ted Cedarblom.
Licensing Rule Reference
19 CSR 30-62.102 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
2/18/2020
Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Tia Smith.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (M) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
1/27/2020
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Allie Derbak needs .5 clock hours, Amanda Link needs 1.5 clock hours. .
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
2/3/2020
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Tia Smith as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
1/27/2020
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Debbie Williams.
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
1/27/2020
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