DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

HERMITAGE R-IV SCHOOL DISTRICT

002802033

(417) 745-6277

23824 POLK ST
HERMITAGE
MO  65668-8213

HERMITAGE R-IV SCHOOL DISTRICT



 

VENANCIO, DIANE CHRISTINE

skobe@hermitage.k12.mo.us


ALISON MICHELE EVANS

5 YEARS - 15 YEARS

32

SCHOOL AGE

AFTER SCHOOL CARE ONLY
 
Inspection Information

04/26/2021

2:15 PM

3:14 PM

UNANNOUNCED

COMPLIANCE MONITORING

2399065965


DocumentDocument-Date
DIRECTOR'S JOB RESPONSIBILITIES 06/24/2020
LINES OF ADMINISTRATIVE AUTHORITY 06/24/2020
DIRECTOR'S QUALIFICATIONS 01/22/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/23/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 06/29/2020
POLICIES 06/23/2020
EQUIPMENT LIST 06/23/2020
JOB RESPONSIBILITIES 02/02/2020
DISCIPLINE POLICIES 06/24/2020
STAFF SHEET 06/24/2020
SAMPLE WEEKLY MENU 02/02/2020
CHILD CARE PRACTICES 06/23/2020
DAILY SCHEDULE 02/02/2020
APPLICATION 06/24/2020




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 21
StaffChildClass AgeNote
2 21 SCHOOL AGE Diane Venancio and Linda Rhine

 
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 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2020, the staff listed need the following information: Diane Venancio needs 3 hours for 2020 and Linda Rhine needs 3 hours for 2020..
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group child 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 caregiver.

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
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Linda Rhine.
Licensing Rule Reference
19 CSR 30-63.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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