DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SMALL WONDERS CHILDCARE CENTER LLC

002164689

(636) 797-3777

10850 HIGHWAY 21
HILLSBORO
MO  63050

SMALL WONDERS CHILDCARE CENTER LLC



 

KILLIAN, HEATHER ANN

heather@yoursmallwonders.com


BRITTANY HECHT

BIRTH - 12 YEARS

96

GROUP HOME AND CENTER

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

06/01/2020

10:00 AM

1:15 PM

ANNOUNCED

SUPPLEMENTAL

2380973623


DocumentDocument-Date
SAMPLE FORMS 07/16/2009
POLICIES 07/16/2009
LOCAL ZONING APPROVAL 07/16/2009
LLC ARTICLES OF ORGANIZATION 04/15/2013
LINES OF ADMINISTRATIVE AUTHORITY 07/27/2009
JOB RESPONSIBILITIES 07/27/2009
DISCIPLINE POLICIES 07/16/2009
DIRECTOR'S QUALIFICATIONS 05/29/2013
DIAGRAM/OUTDOOR 07/16/2009
CHILD CARE PRACTICES 07/27/2009
CERTIFICATE OF GOOD STANDING 05/09/2017
LOCAL BUILDING APPROVAL 01/01/2017
LLC OPERATING AGREEMENT 05/18/2017
SAMPLE WEEKLY MENU 03/19/2014
DIAGRAM/INDOOR 06/21/2018
DAILY SCHEDULE 03/19/2014
SAFE SLEEP POLICY 06/09/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/04/2012
OWNER/PROVIDER REFERENCES 03/19/2012
SANITATION INSPECTION 02/12/2019
STAFF SHEET 04/10/2019
FIRE/SAFETY INSPECTION 04/25/2019
EQUIPMENT LIST 04/10/2019
APPLICATION 04/10/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  4:05PM   5:05PM   9/26/2019
  7:20AM   8:20AM   9/26/2019



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 9
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 10
Total Children 55
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Caregivers, Bobbie Hobson & Jackie Golterman 6 - Birth - 23 Months Old
2 0 NO CHILDREN IN ATTENDANCE Heather Killian, Director Erica Reynolds, Cook
1 8 PRESCHOOL Blue Room Caregiver, Lacey Marsala 8 - 3 Year Olds
1 8 PRESCHOOL Red Room Caregiver, Kelly Brown 8 - 3 & 4 Year Olds
1 8 PRESCHOOL Caregiver, Tara Mayberry 8 - 4 & 5 Year Olds
1 9 SCHOOL AGE Caregiver, Katelyn Billin 9 - 5 & 6 Year Olds
1 10 SCHOOL AGE Caregiver, Jaclyn Perren 10 - 7 - 12 Year Olds
1 6 TWO YEAR OLDS Caregiver, Jessica Maggard 6 - 2 Year Olds

 
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
Jessica Maggard 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

Violation
Verification of safe sleep training was not documented and maintained as evidenced by training was expired or not in the Toolbox Report for the following staff: Katelyn Bilin, Bobbie Hobson, Hannah BeSeda, Jackie Golterman, Julianna Johnson, & Kim Green.
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

Violation
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Katelyn Bilin - 4 hours, Heather Killian - 1 hour, Jaclyn Perren - 10 hours, Hannah BeSeda - 12 hours, Kelly Brown - 4 1/2 hours, Jackie Golterman - 12 hours, Julianna Johnson - 2 hours all 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 Kim Green.
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

Violation
Medical examination report(s) was/were not on file for Kim Green 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

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
1 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
Submit Documentation

Compliance Date

Violation
1 child(ren) records did not include name 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

Violation
1 child(ren) records did not include name 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

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 210.115. 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