DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CDI HEAD START

002779515

(660) 351-4756

1025 E WOOTER ST
NEVADA
MO  64772-2761

CDI HEAD START

702 E OHIO ST
CLINTON
MO  64735-2371

BOYLES, AMY MELYNDA

dsmith@cditeam.org

Incorporated

GINA HOHENSEE

6 WEEKS - 5 YEARS

77

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT; 6 CHILDREN UNDER 12 MONTHS
 
Inspection Information

05/13/2020

1:00 PM

1:55 PM

ANNOUNCED

SUPPLEMENTAL

2378974378


DocumentDocument-Date
FIRE/SAFETY INSPECTION 07/11/2019
SANITATION INSPECTION 07/12/2019
APPLICATION 06/17/2019
DIAGRAM/INDOOR 06/17/2019
DAILY SCHEDULE 07/02/2019
EQUIPMENT LIST 07/02/2019
JOB RESPONSIBILITIES 07/02/2019
DISCIPLINE POLICIES 07/08/2019
CHILD CARE PRACTICES 06/19/2019
POLICIES 06/19/2019
CERTIFICATE OF GOOD STANDING 07/02/2019
ARTICLES OF INCORPORATION 06/19/2019
DIRECTOR'S QUALIFICATIONS 07/08/2019
SAMPLE WEEKLY MENU 07/08/2019
LINES OF ADMINISTRATIVE AUTHORITY 07/08/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 07/08/2019
STAFF SHEET 07/08/2019
SAFE SLEEP POLICY 07/08/2019
DIAGRAM/OUTDOOR 07/08/2019
LOCAL ZONING APPROVAL 07/09/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/08/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 15
StaffChildClass AgeNote
15 0 NO CHILDREN IN ATTENDANCE Marla Applegate, Brenda Budd, Haylie Crews, Kimberly Crust, Samantha Klomhaus, Katelin Lechman, Chelsey Martinez, Amber Plunkett, Lydia Pryor, Marsha Ring, Aubrey Robinson, Breanna Sale, Sonny Strong, Shylo Webb, and Christie Wolfe

 
19 CSR 30-62.032 Organization and Administration
Not Observed
19 CSR 30-62.042 Initial Licensing Information
Not Observed
19 CSR 30-62.052 License Renewal
Not Observed
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
19 CSR 30-62.087 Fire Safety
Not Observed
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Not Observed
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Haylie Crews, Lydia Pryor, Madison Young.
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
4/3/2020
Violation
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Kimberly Crust needs 1 hours for 2019, Samantha Klomhaus needs 3 hours for 2019, Amber Plunkett needs 1 hour for 2019, Breanna Sale need 3 hours for 2019, Sonny Strong needs 3 hours for 2019, Madison Young needs 4 hours for 2019..
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

Violation
Haylie Crews did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) (C) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall complete safe sleep training described in section (4) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department approved safe sleep training must be completed within 30 days of employment or volunteering.

Correction Verification
Submit Documentation

Compliance Date
1/27/2020
19 CSR 30-62.112 Staff/Child Ratios
Not Observed
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report was not on file for Marla Applegate, Chelsey Martinez, Shylo Webb, and Christie Wolfe 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
5/7/2020
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Marla Applegate, Katelin Lechman, Chelsey Martinez, Lydia Pryor, Marsha Ring, Shylo Webb, Christie Wolfe.
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
5/7/2020
19 CSR 30-62.132 Admission Policies and Procedures
Not Observed
19 CSR 30-62.142 Nighttime Care
Not Observed
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
Not Observed
19 CSR 30-62.192 Health Care
Not Observed
19 CSR 30-62.202 Nutrition and Food Service
Not Observed
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
2 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-63.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed