DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

INSPECTION REPORT
Facility Information






 




 










 
Inspection Information








DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 05/17/2000
LOCAL BUILDING APPROVAL 05/18/2000
LOCAL FIRE DEPARTMENT NOTIFICATION 08/09/2019
POLICIES 02/09/2016
LLC ARTICLES OF ORGANIZATION 02/09/2016
REGISTERING FICTITIOUS NAMES 02/09/2016
APPLICATION 01/06/2020
EQUIPMENT LIST 01/06/2020
STAFF SHEET 02/03/2020
SANITATION INSPECTION 02/14/2020
FIRE/SAFETY INSPECTION 01/14/2020
OWNER/PROVIDER REFERENCES 04/04/2000
JOB RESPONSIBILITIES 05/15/2000
SAMPLE WEEKLY MENU 05/15/2000
DAILY SCHEDULE 05/15/2000
CHILD CARE PRACTICES 05/15/2000
DISCIPLINE POLICIES 05/15/2000
LLC OPERATING AGREEMENT 05/18/2000
SAMPLE FORMS 05/15/2000
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/17/2012
SAFE SLEEP POLICY 02/22/2017
DIAGRAM/INDOOR 09/24/1999
DIAGRAM/OUTDOOR 05/15/2000
DIRECTOR'S QUALIFICATIONS 05/23/2002




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
Compliance
19 CSR 30-62.052 License Renewal
Violation
 Provider Comments
Violation
The sanitation inspection was not approved.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (B) states: Evidence of compliance with local or state, or both, sanitation requirements;
Correction Required
The facility shall submit evidence of compliance with sanitation requirements for renewal.

Correction Verification
Submit Documentation

Compliance Date
2/14/2020
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
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
Violation
 Provider Comments
Violation
Medical examination report form did not contain all required information as evidenced by the medical form for Daisy Coffman was not completed to indicate Ms. Coffman's fitness to work in a child care setting.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/20/2020
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