DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

THE LEARNING TREE PRESCHOOL AND DAYCARE, LLC

002664675

(573) 546-5566

305 HWY 21 NORTH
PILOT KNOB
MO  63663

THE LEARNING TREE PRESCHOOL AND DAYCARE, LLC

PO BOX 488
PILOT KNOB
MO  63663-0488

SCHNEDLER, MEGAN LEA

MSCHNEDLER9311@HOTMAIL.COM


KAYLA TODARO

BIRTH - 12 YEARS

40

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

07/14/2020

9:30 AM

10:32 AM

ANNOUNCED

SUPPLEMENTAL

2383584914


DocumentDocument-Date
APPLICATION 07/29/2019
ARTICLES OF INCORPORATION 06/20/2017
STAFF SHEET 07/29/2019
EQUIPMENT LIST 07/29/2019
LOCAL ZONING APPROVAL 08/07/2017
LLC ARTICLES OF ORGANIZATION 06/20/2017
LLC OPERATING AGREEMENT 06/19/2017
SAMPLE WEEKLY MENU 07/20/2017
LINES OF ADMINISTRATIVE AUTHORITY 06/20/2017
DISCIPLINE POLICIES 07/20/2017
LOCAL BUILDING APPROVAL 08/07/2017
POLICIES 07/20/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 08/31/2017
CHILD CARE PRACTICES 08/07/2017
DAILY SCHEDULE 08/31/2017
DIAGRAM/INDOOR 08/31/2017
DIAGRAM/OUTDOOR 08/31/2017
DIRECTOR'S QUALIFICATIONS 09/21/2017
SANITATION INSPECTION 05/07/2019
FIRE/SAFETY INSPECTION 09/18/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 5
Total Children 24
StaffChildClass AgeNote
1 3 INFANTS AND TODDLERS Nancy Inman with 3 under age 2 years.
3 16 MIXED Heather Dunn, Patricia Inman and Megan Schnedler with 8 preschool children and 8 school-age children.
1 5 TWO YEAR OLDS Kaylan Crocker with 5 two year olds.

 
19 CSR 30-62.032 Organization and Administration
Compliance
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's outdoor space was not safe for children's activities as evidenced by stakes are working out of the metal canopy.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
7/14/2020
19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Outdoor equipment, the cube climber, in the outdoor playground was not in good condition as evidenced by the plastic platform is cracked.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date
7/14/2020
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
Requirements for safe sleep training were not met in that the following staff did not complete department-approved safe sleep training within the past three years: Victoria Cambell and Nancy Inman. As of July 14, 2020, Victoria Campbell has not completed safe sleep training.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 128, No. 5, November 1, 2011, and available from the University of Vermont College of Medicine, Given Building S261, 89 Beaumont Avenue, Burlington, Vermont 05405-0068, telephone number 802-656-2505, fax number 802-656-4844, or at www.pediatrics.aapublications.org/content/128/5/1030.full. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Center director, group child care home provider, and other caregivers, and those volunteers counted in staff/child ratios shall complete department approved safe sleep training as required.

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: Kayla Daugherty must have 7 additional training hours; Heather Dunn must have 12 additional training hours; Nancy Inman must have 12 additional training hours; Patricia Inman must have 12 additional training hours; Megan Schnedler must have 6 additional .
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
Compliance
19 CSR 30-62.122 Medical Examination Reports
Compliance
19 CSR 30-62.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Compliance
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 2. As of July 14, 2020, these reports have not been submitted. In addition, one child from July 14, 2020, inspection must have an additional DTAP, HIB, PVC, MMR, and Varicella on file 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
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Compliance
19 CSR 30-63.040 Background Screening Findings
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. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance