DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MCNEAL, MARY KATHERINE

000702912

(573) 795-7103

4 THOMAS ST
MONROE CITY
MO  63456-1008

MCNEAL, MARY KATHERINE



 

MCNEAL, MARY KATHERINE

kathmaria@yahoo.com


CHRISTINA BRUCE

BIRTH - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

11/09/2020

11:50 AM

1:24 PM

UNANNOUNCED

COMPLIANCE MONITORING

2387604639


DocumentDocument-Date
STAFF SHEET 10/11/2019
SANITATION INSPECTION 11/12/2019
DIAGRAM/INDOOR 10/10/2019
DIAGRAM/OUTDOOR 10/15/2019
EQUIPMENT LIST 10/10/2019
OWNER/PROVIDER REFERENCES 04/11/1995
SAFE SLEEP POLICY 02/26/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/26/2016
DISCIPLINE POLICIES 01/31/2003
CHILD CARE PRACTICES 01/23/2002
POLICIES 01/23/2002
JOB RESPONSIBILITIES 09/15/1999
SAMPLE WEEKLY MENU 12/17/1997
DIRECTOR'S QUALIFICATIONS 07/24/2001
LOCAL BUILDING APPROVAL 02/03/2001
LOCAL ZONING APPROVAL 02/03/2001
FIRE/SAFETY INSPECTION 11/14/2019
LINES OF ADMINISTRATIVE AUTHORITY 11/14/2019
APPLICATION 08/16/2019
DAILY SCHEDULE 10/10/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   4:00PM   2/11/2020
  7:00AM   8:00AM   2/11/2020



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 5
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 17
StaffChildClass AgeNote
1 3 INFANTS AND TODDLERS Staff: Lakelee Watson Age range 12 weeks through 6 months. (Children's ages were 12 weeks, 5 months, and 6 months).
1 4 MIXED Staff: Ashlin Wisdom Age range 10 months through 4 years. (Children's ages were 10 months, 2 years, 16 months, and 4 years.)
1 10 MIXED Staff: Jennifer Griffin. Age range 14 months through 12 years. Two 2 year old children.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Violation
 Provider Comments
Violation
Conditions specified on the license were not met as evidenced by upon arrival of CCFS, there were 6 children under 24 months of age.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (2) (W) states: All day care provided on the premises of a licensed facility shall be in compliance with the licensing rules and the conditions specified on the license.
Correction Required
The facility shall be in compliance with the licensing rules and the conditions specified on the license.

Correction Verification
Corrected on Site

Compliance Date
11/9/2020
Violation
The number of children was exceeded as evidenced by there were 6 children under 24 months and the facility is approved for only 4 under the age of 24 months.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (2) (V) states: The number and ages of children the facility is authorized to have in care at any one (1) time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The facility shall maintain compliance with the specifications on the license.

Correction Verification
Corrected on Site

Compliance Date
11/9/2020
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
Children were not restricted to approved space as evidenced by the kitchen doors were open and the children had access to the kitchen area.
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
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 the number of children present was not recorded.
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
Corrected on Site

Compliance Date
11/9/2020
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the type of drill was not recorded.
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
Corrected on Site

Compliance Date
11/9/2020
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the date of the drill was not recorded.
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
Corrected on Site

Compliance Date
11/9/2020
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the evacuation time was not recorded.
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
Corrected on Site

Compliance Date
11/9/2020
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
An infant was observed sleeping in a/an infant swing.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. I states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.
Correction Required
Infants shall only sleep in a crib, portable crib, or playpen.

Correction Verification
Corrected on Site

Compliance Date
11/9/2020
Violation
Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by an infant was observed with a blanket used under a bottle while the infant was asleep in a swing.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. G states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items.
Correction Required
Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation.

Correction Verification
Corrected on Site

Compliance Date
11/9/2020
Violation
The requirements for sleeping materials were not met as evidenced by one children 12 months or older was/were sleeping/napping on couch.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.

Correction Verification
Corrected on Site

Compliance Date
11/9/2020
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Lakelee Watson.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (J) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Lakelee Watson and Ashlin Wisdom (no eligibility letter).
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (M) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check prior to employment or presence in the facility for the following staff: Lakelee Watson (No FP receipt nor FCSR screening on file).
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) states: The provider shall request the results of a criminal background check for child care staff members as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required requests of criminal background checks shall be on file.

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
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
Violation
 Provider Comments
Violation
Requirements for feeding infants unable to hold their own bottle were not met as evidenced by a 5 month old child had a bottle propped up by a blanket in an infant swing.
Licensing Rule Reference
19 CSR 30-62.202 Nutrition and Food Service (2) (D) states: Until infants can hold a bottle comfortably, they shall be held by a caregiver during bottle feeding. Bottles shall not be propped.
Correction Required
Caregivers shall hold infants during bottle feeding as required.

Correction Verification
Corrected on Site

Compliance Date
11/9/2020
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
Records were not available for inspection by the department upon request as evidenced by there was no file available for Lakelee Watson (staff).
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (11) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.

Correction Verification
Submit Documentation

Compliance Date

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