DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT
Facility Information






 




 








 
Inspection Information








DocumentDocument-Date
LLC OPERATING AGREEMENT 06/28/2019
SAFE SLEEP POLICY 05/22/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 04/17/2019
APPLICATION 05/06/2019
REGISTERING FICTITIOUS NAMES 05/06/2019
FIRE/SAFETY INSPECTION 04/29/2019
SANITATION INSPECTION 04/29/2019
SAMPLE WEEKLY MENU 04/17/2019
STAFF SHEET 04/17/2019
DIAGRAM/INDOOR 04/19/2019
DIAGRAM/OUTDOOR 04/17/2019
CERTIFICATE OF GOOD STANDING 04/19/2019
DIRECTOR'S QUALIFICATIONS 04/17/2019
CHILD CARE PRACTICES 05/13/2019
DAILY SCHEDULE 05/19/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/19/2019
DISCIPLINE POLICIES 05/13/2019
EQUIPMENT LIST 05/13/2019
JOB RESPONSIBILITIES 05/19/2019
LINES OF ADMINISTRATIVE AUTHORITY 05/13/2019
POLICIES 05/13/2019
LOCAL BUILDING APPROVAL 05/10/2019
LLC ARTICLES OF ORGANIZATION 04/01/2019




Open Violations:
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
StaffChildClass AgeNote
1 5 MIXED Tosha Thomas is present with 5 children 2-8 years old. One of these children are 2 years old.
1 5 MIXED Alexis Crowder is present with 5 children 2-5 years old. Of these children, one child is 2 years old.
1 0 NO CHILDREN IN ATTENDANCE Assistant Director, Joyce Brown-Smith is present and not counting in child/staff ratio.

 
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
Violation
 Provider Comments
Violation
The facility has not met the requirements for state or local sanitation as evidenced by there is not an approved sanitation inspection on file.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility has not met the requirements for fire and safety as evidenced by there is not an approved fire inspection on file.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.087 Fire Safety
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

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
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Johnathon Smith has no clock hours for 2019, he needs 8 clock hours; Pam McCulley has 2 clock hours for 2019, she needs 6 clock hours; Arteneus McCulley has 3 clock hours for 2019, he needs 5 clock hours; and Joyce Brown-Smith has 1 clock hour for 2019, she needs 7 clock hours.
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
Tosha Thomas, Johnathon Smith, Pam McCulley 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

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 Tosha Thomas.
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 210.115. 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