DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

A TOUCH OF NATURE QUALITY CHILD CARE, INC.

000853385

(417) 881-1111

1446 E LARK
SPRINGFIELD
MO  65804

A TOUCH OF NATURE QUALITY CHILD CARE INC



 

ALEXANDER, DONNA ARLENE

atonplus2@aol.com

Incorporated

PENNY KREITZER

24 MONTHS - 12 YEARS

50

GROUP HOME AND CENTER

 
Inspection Information

05/13/2020

2:30 PM

3:00 PM

ANNOUNCED

SUPPLEMENTAL

2379618854


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 10/22/1998
JOB RESPONSIBILITIES 11/27/1996
LINES OF ADMINISTRATIVE AUTHORITY 10/01/1996
CHILD CARE PRACTICES 11/27/1996
LOCAL BUILDING APPROVAL 12/10/1996
DISCIPLINE POLICIES 11/27/1996
DIAGRAM/OUTDOOR 11/27/1996
DIAGRAM/INDOOR 11/27/1996
ARTICLES OF INCORPORATION 09/30/2014
STAFF SHEET 09/21/2018
EQUIPMENT LIST 09/21/2018
APPLICATION 09/21/2018
SANITATION INSPECTION 09/24/2019
FIRE/SAFETY INSPECTION 11/04/2019




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 6
Total Children 45
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE Director, Donna Alexander was present.
1 9 PRESCHOOL Cassie Wolfe was present with 9 three year old children.
1 10 PRESCHOOL Averlene Facio was present with 10 children. There were 3 three year old children and 7 four year old children.
1 10 PRESCHOOL Sarah Shank was present with 10 five year old children who are Pre Kindergarten.
1 8 SCHOOL AGE Makayla Lee was present with 8 school age children.
1 8 TWO YEAR OLDS Christin Cooper present with 8 two year old children.

 
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
Not Observed
19 CSR 30-62.092 Furniture, Equipment and Materials
Not Observed
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: CHRISTIN COOPER: NEEDS DOCUMENTATION OF 7 ADDITIONAL CLOCK HOURS FOR 2019.
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

19 CSR 30-62.112 Staff/Child Ratios
Not Observed
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 AVERLENE FACIO IN THAT THE TB RISK ASSESSMENT DOES NOT INDICATE WHETHER FURTHER TREATMENT IS NEEDED.
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
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
Not Observed
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