MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MERCY HOSPITAL SPRINGFIELD

Facility DVN
000180709

Phone
(417) 820-7955

Physical Address
1831 S FREMONT
SPRINGFIELD
MO 65804

Owner
MERCY HOSPITAL SPRINGFIELD

Mailing Address
1235 E CHEROKEE ST
SPRINGFIELD
MO 65804-2203

Provider/Director
GHAN, KARA GAY

E-mail Address
Kara.Ghan@mercy.net

Incorporated
Incorporated

Child Care Specialist
BILLIE RUSSELL

Age Range
6 WEEKS - 12 YEARS

Capacity
133

Facility Type
GROUP HOME AND CENTER

Limitations
4 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
05/22/2020

Arrival Time
10:00 AM

Departure Time
10:48 AM

Notice
ANNOUNCED

Inspection Type
SUPPLEMENTAL

Inspection ID
2380406523

Document	Document-Date
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/09/2019
SAFE SLEEP POLICY	10/09/2019
SAMPLE WEEKLY MENU	10/24/1984
POLICIES	10/21/2009
LOCAL ZONING APPROVAL	10/05/2005
LOCAL BUILDING APPROVAL	10/05/2005
LINES OF ADMINISTRATIVE AUTHORITY	01/26/1982
JOB RESPONSIBILITIES	10/31/1997
DISCIPLINE POLICIES	10/21/2009
DIRECTOR'S QUALIFICATIONS	05/19/2006
DAILY SCHEDULE	10/24/1997
ARTICLES OF INCORPORATION	03/24/1982
CHILD CARE PRACTICES	10/21/2009
CERTIFICATE OF GOOD STANDING	08/29/2013
DIAGRAM/INDOOR	08/14/2014
DIAGRAM/OUTDOOR	08/15/2014
APPLICATION	09/26/2019
FIRE/SAFETY INSPECTION	07/29/2019
SANITATION INSPECTION	08/22/2019
STAFF SHEET	10/09/2019
EQUIPMENT LIST	10/09/2019

Inspection determined facility to be in compliance with licensing rules.

Open Violations: NA

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 16

Total Children 53

Staff	Child	Class Age	Note
1	4	INFANTS AND TODDLERS	All children were under 24 months old. The caregiver with the children was Deanna Lumley.
1	4	INFANTS AND TODDLERS	All children were between 12 and 24 months old. The caregiver with the children was Jennifer Smith.
3	0	NO CHILDREN IN ATTENDANCE	Additional staff in the building were Janet Methvin, Leslie Harvey and Kara Ghan (director).
2	8	PRESCHOOL	All children were three (3) years old. The caregivers with the children were Kim Jones and Jennifer Payne.
2	9	PRESCHOOL	There were two (2) three (3) year old and seven (7) four (4) year old children in the group. The caregivers with the children were Lois Polocoser and Paige Gentry.
2	9	PRESCHOOL	All children were four (4) years old. The caregivers with the children were Whitney Temple and Jean George.
2	5	PRESCHOOL	All children were five (5) years old. The caregivers with the children were Linda Manning and Shella Jones.
1	6	PRESCHOOL	All children were five (5) years old. The caregiver with the children was Rebecca Wessel.
2	8	TWO YEAR OLDS	All children were two (2) years old. The caregivers with the children were Misty Cramer and Leah Freeze.


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 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 210.115. 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