DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

TINY TOTS DAYCARE AND PRESCHOOL

002125391

(660) 342-6730

1305 E RANDOLPH ST
KIRKSVILLE
MO  63501-4097

DARNEL, TIFFANY JO



 

DARNEL, TIFFANY JO

tdarnel4@gmail.com


BETHANY C DUCKWORTH

BIRTH - 6 YEARS

14

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/28/2021

12:14 PM

1:08 PM

UNANNOUNCED

COMPLIANCE MONITORING

2392340279


DocumentDocument-Date
LICENSING ORIENTATION 04/16/2020
DIAGRAM/OUTDOOR 05/23/2019
REGISTERING FICTITIOUS NAMES 07/20/2020
SAMPLE WEEKLY MENU 06/06/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 05/23/2019
SAFE SLEEP POLICY 06/04/2019
STAFF SHEET 02/26/2020
POLICIES 03/10/2020
DIRECTOR'S QUALIFICATIONS 03/06/2020
EQUIPMENT LIST 01/25/2021
SANITATION INSPECTION 06/19/2020
APPLICATION 06/30/2020
DIAGRAM/INDOOR 06/11/2020
LOCAL BUILDING APPROVAL 04/06/2020
LOCAL ZONING APPROVAL 04/06/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/10/2020
DISCIPLINE POLICIES 03/10/2020
CHILD CARE PRACTICES 03/10/2020
DAILY SCHEDULE 03/10/2020
FIRE/SAFETY INSPECTION 01/19/2021
LINES OF ADMINISTRATIVE AUTHORITY 07/18/2020
JOB RESPONSIBILITIES 07/18/2020

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:00AM   12:00PM   1/13/2021
  3:00PM   4:00PM   1/13/2021



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 2
Total Children 13
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Staff: Tiffany Darnel Age range 15 weeks through 16 months.
1 9 PRESCHOOL Staff: Tammy Higgens Age range 2 years to 3 years. Four 2 year old children.

 
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
The facility has not met the requirements for state or local zoning as evidenced by the temporary approval ran out in October 2020. There is no current approval for zoning for the facility.
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
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
The requirements for sleeping materials were not met as evidenced by eight (8) children 12 months or older, who nap or sleep, did not have a sheet.
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
Submit Documentation

Compliance Date

Violation
Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by a child under 12 months of age was sleeping with a blanket.
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
1/28/2021
19 CSR 30-62.102 Personnel
Compliance
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
The facility's written policies were not implemented as evidenced by a sleeping child under 12 months of age had a bottle in the crib which it had been using.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (1) states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children and shall provide a copy to the parent(s) at the time of enrollment.
Correction Required
The provider's written policies shall be provided to the parent(s) as required.

Correction Verification
Corrected on Site

Compliance Date
1/28/2021
Violation
A diet plan for each infant/toddler was not signed by the parent(s).
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 3. states: A diet plan for each infant/toddler signed by the parent(s);
Correction Required
Caregivers shall follow each infant's feeding instructions 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
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
Compliance
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