DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

A TO Z PRESCHOOL AND CHILD CARE CENTER, LLC

002306696

(636) 797-2273

6008 STATE HIGHWAY B
HILLSBORO
MO  63050

A TO Z PRESCHOOL AND CHILD CARE CENTER LLC



 

RAMSEY, TIFFANY D

linda@atozchildcenter.com


BRITTANY HECHT

BIRTH - 14 YEARS

67

GROUP HOME AND CENTER

15 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/21/2020

11:20 AM

12:58 PM

UNANNOUNCED

COMPLIANCE MONITORING

2376443271


DocumentDocument-Date
DIAGRAM/OUTDOOR 09/12/2012
DIAGRAM/INDOOR 09/20/2011
CHILD CARE PRACTICES 10/04/2011
LINES OF ADMINISTRATIVE AUTHORITY 10/04/2011
DAILY SCHEDULE 10/04/2011
POLICIES 10/04/2011
LOCAL BUILDING APPROVAL 10/11/2011
SAMPLE FORMS 08/17/2011
JOB RESPONSIBILITIES 08/17/2011
LLC OPERATING AGREEMENT 08/17/2011
SAMPLE WEEKLY MENU 08/17/2011
LLC ARTICLES OF ORGANIZATION 08/17/2011
SAFE SLEEP POLICY 04/13/2016
FIRE/SAFETY INSPECTION 06/20/2019
APPLICATION 08/15/2019
EQUIPMENT LIST 08/15/2019
STAFF SHEET 08/15/2019
DIRECTOR'S QUALIFICATIONS 08/29/2019
LOCAL ZONING APPROVAL 01/01/2019
CERTIFICATE OF GOOD STANDING 09/16/2019
SANITATION INSPECTION 09/12/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/14/2012
LOCAL FIRE DEPARTMENT NOTIFICATION 10/04/2011
DISCIPLINE POLICIES 10/04/2011




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 5
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 11
Total Children 30
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS 7 - 12 Months Old Staff Present: Kayla West Theresa Hayes
6 6 INFANTS AND TODDLERS 6 Children 2 - Under 12 Months Old 4 - 12 Month Olds Staff Present: Hope Townsend DeAnna Ritch
1 9 MIXED 2 - 2 Year Olds 7 - 3 & 4 Year Olds Staff Present: Miranda Lucas
1 0 NO CHILDREN IN ATTENDANCE Danyell Groves, Cleaning Classroom
1 8 PRESCHOOL 8 - 4 & 5 Year Olds Staff Present: Sarah Wedding

 
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 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 fence was not in good condition in that the fence was unattached from the top rail in several places.
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
Violation
 Provider Comments
Violation
Furniture/equipment, the lower cabinets, in the entry way was not in good condition as evidenced by the cabinet doors were broken & did not close.
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

19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Danyell G. - 2 Hours, Tabitha H. - 10.5 Hours, Donetta H. - 1 Hour, Miranda L. - 1.25 Hours, Allison N. - 2 Hours, DeAnna R. - 3 Hours, & Crystal V. - 10.5 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

Violation
The requirements for first aid and CPR training were not met as evidenced by at least one caregiver for every 20 children in capacity was not certified in first aid/CPR in that only 1 staff has current CPR/First Aid, at least 3 other caregivers will need training.
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

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

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
Not Observed
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