DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BIS-KIDS DAYCARE CENTER

000706490

(573) 734-6401

637 CENTER ST
BISMARCK
MO  63624-9097

EGGERS, DEBORAH KAY



 



skipeggers@gmail.com



RONDA TUSCHHOFF

6 WEEKS - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 12 MONTHS; 4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/18/2020

11:30 AM

3:25 PM

ANNOUNCED

RENEWAL

2376069594


DocumentDocument-Date
FIRE/SAFETY INSPECTION 01/27/2020
DIAGRAM/OUTDOOR 02/18/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/06/2019
DISCIPLINE POLICIES 12/06/2019
EQUIPMENT LIST 02/18/2020
REGISTERING FICTITIOUS NAMES 12/03/2019
STAFF SHEET 02/18/2020
LINES OF ADMINISTRATIVE AUTHORITY 12/06/2019
SAMPLE WEEKLY MENU 02/18/2020
SAFE SLEEP POLICY 12/06/2019
POLICIES 12/06/2019
DIAGRAM/INDOOR 02/18/2020
DAILY SCHEDULE 12/06/2019
DIRECTOR'S QUALIFICATIONS 02/18/2020
CHILD CARE PRACTICES 12/06/2019
APPLICATION 01/23/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 10
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 3
Total Children 18
StaffChildClass AgeNote
3 18 MIXED Staff Present: Debbie Eggers, Haley Barrow, and Emily Brooks. Children Present: 18 children including 3 under age 2 years.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Violation
 Provider Comments
Violation
The facility had no evidence of compliance with sanitation requirements.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (2) (D) 12. states: Evidence of compliance with local or state, or both, sanitation requirements;
Correction Required
The facility shall submit evidence that sanitation requirements have been met.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility had no evidence of compliance with local zoning requirements.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (2) (D) 13. states: Evidence of compliance, if applicable, with local building and zoning requirements;
Correction Required
The facility shall submit evidence that local building and zoning requirements have been met.

Correction Verification
Submit Documentation

Compliance Date

Violation
Written policies and procedures were were not submitted.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (2) (D) 15. states: Written policies and procedures which clearly establish job responsibilities and lines of administrative authority. This shall include a statement of the kind and extent of authority and the duties delegated to the director employed to carry out the program;
Correction Required
The facility shall submit written policies and procedures, including job responsibilities, as required for licensing.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not submit requested information for initial licensing as evidenced by fire department notification was not submitted.
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 initial licensing.

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): Haley Barren.
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

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 did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the height of the fence was less than 42 inches high - the measured height was 38".
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Emily Brooks, MacKenzie Bowen, Cristina Dunn, Everett Eggers, Haley Barrow.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (J) . 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. The facility orientation shall include:
Correction Required
The facility 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

Violation
The requirements for first aid and CPR training were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (S) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be and approved by the department.
Correction Required
Required certification in first aid/CPR shall be on file. At least one caregiver with the certification shall be on site as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements for safe sleep training were not met in that the following staff did not complete department-approved safe sleep training within the past three years: Emily Brooks, Christina Dunn, Everett Eggers, Haley Barrow.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 128, No. 5, November 1, 2011, and available from the University of Vermont College of Medicine, Given Building S261, 89 Beaumont Avenue, Burlington, Vermont 05405-0068, telephone number 802-656-2505, fax number 802-656-4844, or at www.pediatrics.aapublications.org/content/128/5/1030.full. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Center director, group child care home provider, and other caregivers, and those volunteers counted in staff/child ratios shall complete department approved safe sleep training as required.

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 Emily Brooks, MacKenzie Bowen, Christina Dunn, Everett Eggers, Deborah Eggers, Haley Barrow.
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
Compliance
19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Not Observed
19 CSR 30-62.162 Overlap Care of Children
Not Observed
19 CSR 30-62.172 Emergency School Closings
Not Observed
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