DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LITTLE TOTS, LLC

002850786

(660) 258-9868

510 S MONROE ST
BROOKFIELD
MO  64628-2444

LITTLE TOTS, LLC



 

SHOUSE, CASSANDRA RAE

littletots20@gmail.com


ELLEN DONOHO

BIRTH - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

04/16/2021

12:10 PM

12:49 PM

UNANNOUNCED

COMPLIANCE MONITORING

2397717299


DocumentDocument-Date
JOB RESPONSIBILITIES 10/06/2020
LINES OF ADMINISTRATIVE AUTHORITY 10/06/2020
POLICIES 09/21/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/06/2020
SAMPLE WEEKLY MENU 09/21/2020
LOCAL ZONING APPROVAL 09/21/2020
LLC ARTICLES OF ORGANIZATION 09/04/2020
DIAGRAM/OUTDOOR 10/06/2020
DIAGRAM/INDOOR 10/06/2020
CHILD CARE PRACTICES 09/21/2020
ARTICLES OF INCORPORATION 09/04/2020
SAMPLE FORMS 09/21/2020
DISCIPLINE POLICIES 09/21/2020
DAILY SCHEDULE 09/30/2020
LOCAL BUILDING APPROVAL 09/30/2020
STAFF SHEET 10/06/2020
EQUIPMENT LIST 10/06/2020
APPLICATION 09/08/2020
LLC OPERATING AGREEMENT 10/06/2020
DIRECTOR'S QUALIFICATIONS 10/06/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/06/2020
SANITATION INSPECTION 11/04/2020
FIRE/SAFETY INSPECTION 10/14/2020
SAFE SLEEP POLICY 10/21/2020
REGISTERING FICTITIOUS NAMES 09/04/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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
3 17 MIXED 1- Five month old. 3- two year old children 4- Three year old children 7 - Four year old children 2- Five year old children Cassie Shouse, staff Destiny Abbott, staf Megan Spicemeyer staff

 
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
Compliance
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
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were January 2021.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and 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
One child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

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