DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KIZER ACADEMY

002846577

(636) 232-7749

6439 US HIGHWAY 61 67
IMPERIAL
MO  63052-2606

KIZER ACADEMY, LLC



 

KIZER, SARAH MARIE

KIZERACADEMYIMPERIAL@GMAIL.COM


BRITTANY HECHT

5 YEARS - 12 YEARS

35

GROUP HOME AND CENTER

 
Inspection Information

10/29/2020

8:45 AM

9:35 AM

ANNOUNCED

COMPLIANCE MONITORING

2387161111


DocumentDocument-Date
STAFF SHEET 09/25/2020
SAMPLE WEEKLY MENU 09/25/2020
REGISTERING FICTITIOUS NAMES 09/09/2020
POLICIES 09/25/2020
LOCAL BUILDING APPROVAL 09/25/2020
LOCAL ZONING APPROVAL 09/25/2020
LLC OPERATING AGREEMENT 09/25/2020
LLC ARTICLES OF ORGANIZATION 09/09/2020
LICENSING ORIENTATION 09/09/2020
JOB RESPONSIBILITIES 09/30/2020
DISCIPLINE POLICIES 09/25/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/24/2020
DIAGRAM/OUTDOOR 09/25/2020
DIAGRAM/INDOOR 09/25/2020
DAILY SCHEDULE 09/25/2020
CHILD CARE PRACTICES 09/25/2020
EQUIPMENT LIST 09/25/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 08/31/2020
FIRE/SAFETY INSPECTION 10/26/2020
SANITATION INSPECTION 08/31/2020
APPLICATION 08/17/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/25/2020
LINES OF ADMINISTRATIVE AUTHORITY 09/25/2020
DIRECTOR'S QUALIFICATIONS 09/25/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 3
Total Children 10
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE Sarah Kizer, Director
2 10 SCHOOL AGE Rachelle Matthews & Katherine Boucher, Caregivers 10 - 6-10 Year Olds

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 Annual Requirements
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: Swiffer Wet Mopping Cloths. The item(s) was/were located in the green cabinet in the Hawks Classroom.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
10/29/2020
Violation
Children were not restricted to approved space as evidenced by the Furnace Room door was not locked leaving the space accessible to children.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Corrected on Site

Compliance Date
10/29/2020
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
Compliance
19 CSR 30-62.102 Personnel
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
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 Bailey Crase.
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
Compliance
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
Compliance
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
Violation
 Provider Comments
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
Corrected on Site

Compliance Date
10/29/2020
Violation
1 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
Corrected on Site

Compliance Date
10/29/2020
19 CSR 30-63.020 General Requirements
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