DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CDI HEAD START

002785455

(660) 717-2007

216 S BEECH ST
APPLETON CITY
MO  64724-1022

CDI HEAD START

702 E OHIO ST STE 15
CLINTON
MO  64735-2362

BOCK, WANDA

dsmith@cditeam.org

Incorporated

GINA HOHENSEE

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

05/13/2020

10:00 AM

10:31 AM

ANNOUNCED

SUPPLEMENTAL

2379759173


DocumentDocument-Date
EQUIPMENT LIST 08/19/2019
SANITATION INSPECTION 08/15/2019
STAFF SHEET 08/13/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/13/2019
APPLICATION 07/22/2019
DIAGRAM/INDOOR 08/13/2019
DIAGRAM/OUTDOOR 08/13/2019
LOCAL ZONING APPROVAL 08/13/2019
LOCAL BUILDING APPROVAL 08/13/2019
SAMPLE FORMS 08/13/2019
SAMPLE WEEKLY MENU 08/13/2019
POLICIES 08/13/2019
LINES OF ADMINISTRATIVE AUTHORITY 08/13/2019
JOB RESPONSIBILITIES 08/13/2019
DISCIPLINE POLICIES 08/13/2019
DIRECTOR'S QUALIFICATIONS 08/13/2019
DAILY SCHEDULE 08/13/2019
CHILD CARE PRACTICES 08/13/2019
CERTIFICATE OF GOOD STANDING 08/13/2019
ARTICLES OF INCORPORATION 08/13/2019
FIRE/SAFETY INSPECTION 08/13/2019




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 4
StaffChildClass AgeNote
4 0 NO CHILDREN IN ATTENDANCE Shannon Cook, Lori Corbin, Wanda Bock, and Kystina Evans

 
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
Not Observed
19 CSR 30-62.112 Staff/Child Ratios
Not Observed
19 CSR 30-62.122 Medical Examination Reports
Not Observed
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 1 child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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 telephone number of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
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