DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

002152834

(660) 665-7780

1011 S JAMISON ST
KIRKSVILLE
MO  63501-3986

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY



 

HEMMERLING, CHERI ANN

chemmerling@capnemo.org

Incorporated

BETHANY C DUCKWORTH

6 WEEKS - 5 YEARS

52

GROUP HOME AND CENTER

12 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

03/19/2021

9:40 AM

11:15 AM

UNANNOUNCED

COMPLIANCE MONITORING

2395605382


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 10/18/2010
JOB RESPONSIBILITIES 07/03/2012
DIRECTOR'S QUALIFICATIONS 08/13/2020
DAILY SCHEDULE 10/18/2010
POLICIES 10/18/2010
DISCIPLINE POLICIES 10/18/2010
CHILD CARE PRACTICES 10/18/2010
DIAGRAM/OUTDOOR 10/08/2010
DIAGRAM/INDOOR 10/06/2010
LOCAL ZONING APPROVAL 10/08/2010
APPLICATION 06/04/2020
STAFF SHEET 06/04/2020
EQUIPMENT LIST 06/04/2020
SANITATION INSPECTION 07/02/2020
FIRE/SAFETY INSPECTION 07/13/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/04/2018
SAMPLE WEEKLY MENU 08/01/2010
SAFE SLEEP POLICY 01/05/2016
CERTIFICATE OF GOOD STANDING 02/05/2020




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 10
Total Children 25
StaffChildClass AgeNote
2 4 INFANTS AND TODDLERS Staff: Jennifer Smith and Jennifer Brawner. Age range 11 months through 17 months.
1 0 NO CHILDREN IN ATTENDANCE Staff: Cheri Hemmerling, Director
2 0 NO CHILDREN IN ATTENDANCE Staff: Azura O'Haver and Natousha Moots, cooks.
3 15 PRESCHOOL Staff: Alex Bondy, Kylie Littleton, Dorothy Smith. Age range 3 years through 5 years.
2 6 TWO YEAR OLDS Staff: Emily Harris and Laurie Elliott. All children 2 year olds.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Licensing Process
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 requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 2 outlets did not have protective covers.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
3/19/2021
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
Furniture/equipment, small blue chair, in the Infant/Toddler unit was not in good condition as evidenced by it had rips and tears on the seat and arms..
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Corrected on Site

Compliance Date
3/19/2021
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: Dorothy Smith.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) . 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
Corrected on Site

Compliance Date
3/19/2021
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 Azura O'Haver and Kylie Littleton.
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
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