DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CLAYTON, KELLY

000328970

(660) 248-2405

430 STATE RT W
FAYETTE
MO  65248

CLAYTON, KELLY



 

CLAYTON, KELLY

jr750099@hotmail.com


SUSAN MARIE DOUGLAS

12 MONTHS - 10 YEARS

20

GROUP HOME AND CENTER

1 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/20/2021

10:40 AM

11:23 AM

UNANNOUNCED

REINSPECTION

2391730494


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/12/2020
ANNUAL DECLARATION 11/12/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 10/22/2018
SAMPLE WEEKLY MENU 11/29/1999
LINES OF ADMINISTRATIVE AUTHORITY 11/29/1999
POLICIES 11/29/1999
CHILD CARE PRACTICES 11/29/1999
DISCIPLINE POLICIES 11/29/1999
DAILY SCHEDULE 11/29/1999
LOCAL ZONING APPROVAL 11/29/1999
DIRECTOR'S QUALIFICATIONS 11/30/1999
DIAGRAM/OUTDOOR 09/10/1999
DIAGRAM/INDOOR 09/10/1999
SANITATION INSPECTION 08/12/2020
FIRE/SAFETY INSPECTION 07/28/2020
STAFF SHEET 09/27/2019
EQUIPMENT LIST 11/20/2020
APPLICATION 09/27/2019
JOB RESPONSIBILITIES 09/27/2019
OWNER/PROVIDER REFERENCES 09/27/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/22/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:15PM   5:15PM   9/18/2019



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 15
StaffChildClass AgeNote
3 15 PRESCHOOL Jennifer Leaton, Nicole Lewis, and Kelly Clayton was present with 15 children ages 2 to 5. 4 children age 2 11 children age 3 to 5

 
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 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Joan Innes within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date
1/15/2021
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
Violation
 Provider Comments
Violation
Outdoor equipment, wooden play house , in the playground was not free of pointed parts as evidenced by a wood screw is sticking out from the front side of the playhouse.
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

19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Nicole Lewis needs 1 hour to complete 2019, Gleandell Clayton needs 3 hours to complete 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

Violation
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Nicole Lewis needs 1 hour to complete 2020 training hours. Kelly Clayton and Gleandell Clayton need 12 hours to complete 2020 training hours .
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 Kelly Clayton, Nicole Lewis , Jennifer Leaton, and Gleandell Clayton.
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
1/15/2021
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 30-63.020 General Requirements
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed