DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

WORTH COUNTY HEAD START

000603574

(660) 564-3616

508 E 6TH
GRANT CITY
MO  64456

COMMUNITY SERVICES, INCORPORATED, OF NORTHWEST MISSOURI

PO BOX 328
MARYVILLE
MO  64468

DEGASE, JAMIE MORGAN

LAUFFERT@CSINWMO.ORG

Incorporated

MICHELLE RENEE TRUSSELL

36 MONTHS - 6 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

05/14/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2399941857


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/03/2021
DAILY SCHEDULE 12/13/2002
ARTICLES OF INCORPORATION 12/20/2002
DIAGRAM/OUTDOOR 08/30/2001
DIAGRAM/INDOOR 08/30/2001
LOCAL ZONING APPROVAL 03/22/2007
LOCAL BUILDING APPROVAL 03/22/2007
CERTIFICATE OF GOOD STANDING 05/04/2021
REGISTERING FICTITIOUS NAMES 06/17/2014
CHILD CARE PRACTICES 10/03/1994
JOB RESPONSIBILITIES 10/03/1994
LINES OF ADMINISTRATIVE AUTHORITY 10/03/1994
POLICIES 10/03/1994
SAMPLE WEEKLY MENU 10/03/1994
DIRECTOR'S QUALIFICATIONS 10/12/2018
APPLICATION 03/15/2019
SANITATION INSPECTION 02/23/2021
ANNUAL DECLARATION 05/03/2021
FIRE/SAFETY INSPECTION 07/23/2020
EQUIPMENT LIST 05/03/2021
STAFF SHEET 11/09/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Licensing Process
Compliance
19 CSR 30-62.052 Annual Requirements
Violation
 Provider Comments
Violation
The annual fire safety inspection was not conducted.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date
5/12/2021
Violation
The Family Care Safety Registry check was not conducted for Lily Ueligger 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
5/4/2021
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
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: Kendall Miller.
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
Submit Documentation

Compliance Date
5/12/2021
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
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