DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KELSEY'S CUDDLE HOUSE

002715388

(573) 605-1070

1004 STAR ST
PERRYVILLE
MO  63775-1660

MEYER, KELSEY LOUISE



 

MEYER, KELSEY LOUISE

jaykeimeyer@yahoo.com


CARON AHLEMEYER

BIRTH - 12 YEARS

28

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS
 
Inspection Information

02/25/2020

12:50 PM

3:20 PM

UNANNOUNCED

COMPLIANCE MONITORING

2378633972


DocumentDocument-Date
APPLICATION 08/13/2019
CHILD CARE PRACTICES 08/30/2019
DAILY SCHEDULE 08/30/2019
DIAGRAM/INDOOR 09/17/2019
DIAGRAM/OUTDOOR 09/17/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/17/2019
DISCIPLINE POLICIES 09/17/2019
EQUIPMENT LIST 09/17/2019
FIRE/SAFETY INSPECTION 09/11/2019
JOB RESPONSIBILITIES 08/30/2019
LINES OF ADMINISTRATIVE AUTHORITY 09/17/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 09/17/2019
LOCAL ZONING APPROVAL 09/17/2019
POLICIES 08/30/2019
REGISTERING FICTITIOUS NAMES 09/17/2019
SAFE SLEEP POLICY 08/30/2019
SAMPLE WEEKLY MENU 09/17/2019
SANITATION INSPECTION 09/17/2019
STAFF SHEET 09/17/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   9/17/2019



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 4
Total Children 42
StaffChildClass AgeNote
1 8 INFANTS AND TODDLERS Caregiver: Ashley L'Hote
2 0 NO CHILDREN IN ATTENDANCE Caregivers: Kelsey Meyer and Jennifer Birk-Cook were in the kitchen/open preschool room.
0 17 PRESCHOOL At arrival, there was not a caregiver in the preschool room. Caregiver, Michelle Schumer greeted CCFS at the door and allowed entry into the upstairs space.
1 17 PRESCHOOL At arrival, there was not a caregiver in the preschool room. Caregiver, Michelle Schumer greeted CCFS at the door and allowed entry into the upstairs space. Three children two years of age.

 
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 requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that the open preschool room was missing two protective outlet covers.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
2/25/2020
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that the preschool room was missing two protective outlet covers.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
2/25/2020
Violation
Hazardous items as follows were accessible to children: glass cleaner, Lysol, Comet, disinfecting wipes, sunscreen and hand sanitizer. The item(s) was/were located under the sink in the break room. The door from the preschool room to the break room was not locked which allowed children acesss .
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
2/25/2020
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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately four inches and was located on the I/T playground.
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

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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 7 1/2 inches and was located on the I/T playground.
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

Violation
The facility's outdoor space was not safe for children's activities as evidenced by viewing protruding nails located on the fence located on the I/T playground.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

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 disaster and emergency plan was not available in each room used for childcare as evidenced by it was not available in the I/T room and preschool room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children;
Correction Required
The facilities disaster and emergency plan must be available in required locations.

Correction Verification
Corrected on Site

Compliance Date
2/25/2020
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Stationary equipment, rounded climber, was unsafe as evidenced by the equipment was not securely anchored.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.
Correction Required
Stationary equipment shall be safely installed, stable and securely anchored.

Correction Verification
Submit Documentation

Compliance Date

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: Samantha Unverferth.
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 facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Samantha Unverferth.
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

Violation
Verification of safe sleep training was not documented and maintained as evidenced by Jennifer Birk-Cook's safe sleep training expired December of 2019.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) (A) states: The training shall be documented and maintained as described in paragraph (3)(F)2. of this rule.
Correction Required
Safe sleep training shall be documented and maintained.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Caregiver-child ratio requirements were not met as evidenced by eight children ages birth to twenty three months were cared for by one caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;
Correction Required
Correct caregiver-child ratios and group size shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
2/25/2020
19 CSR 30-62.122 Medical Examination Reports
Compliance
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 one child did not have provider name listed under authorization for emergency medical care.
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
2/25/2020
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
Not Observed
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Violation
 Provider Comments
Violation
Requirements for supervision of napping or sleeping children were not met as evidenced by no caregiver remained in the room while children were napping.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (A) 5. states: A caregiver shall remain in the room with preschool and school-age children while they are napping or sleeping and shall be able to see and hear them if they have difficulty during napping or when they awaken.
Correction Required
A caregiver shall be in the room with napping children, and shall be able to see and hear them.

Correction Verification
Corrected on Site

Compliance Date
2/25/2020
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
One child(ren) records did not include date care begins and ends.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
2/25/2020
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