DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

PREFERRED FAMILY HEALTHCARE, INCORPORATED

002533422

(417) 862-3455

2411 W CATALPA ST
SPRINGFIELD
MO  65807-1123

PREFERRED FAMILY HEALTHCARE INCORPORATED



 

TURNER, KASSANDRA JO

Kassandra.turner@pfh.org

Incorporated

PENNY KREITZER

BIRTH - 12 YEARS

22

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS
 
Inspection Information

05/20/2021

8:30 AM

10:41 AM

UNANNOUNCED

COMPLIANCE MONITORING

2400393769


DocumentDocument-Date
SAFE SLEEP POLICY 12/27/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/22/2015
ANNUAL DECLARATION 05/19/2021
ARTICLES OF INCORPORATION 05/22/2015
CERTIFICATE OF GOOD STANDING 05/22/2015
LLC ARTICLES OF ORGANIZATION 05/22/2015
LINES OF ADMINISTRATIVE AUTHORITY 05/22/2015
LOCAL ZONING APPROVAL 03/25/2003
DIRECTOR'S QUALIFICATIONS 01/25/2013
LOCAL BUILDING APPROVAL 03/25/2003
DAILY SCHEDULE 05/22/2015
DIAGRAM/OUTDOOR 05/22/2015
DIAGRAM/INDOOR 05/22/2015
CHILD CARE PRACTICES 05/22/2015
DISCIPLINE POLICIES 05/22/2015
SAMPLE WEEKLY MENU 05/22/2015
JOB RESPONSIBILITIES 05/22/2015
POLICIES 05/22/2015
FIRE/SAFETY INSPECTION 05/19/2021
SANITATION INSPECTION 05/06/2021
APPLICATION 03/14/2019
STAFF SHEET 05/20/2021
EQUIPMENT LIST 05/19/2021




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 2
Total Children 8
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Hannah Conrad and Margaret Morrisey, caregivers with 1 infant and 3 toddlers. Initially, one three year old child was also present in the room, with Kassandra Smith (caregiver) also present. This was immediately corrected when Kassandra Smith took the three year old child and opened the preschool classroom.
1 4 MIXED Kassandra Smith, caregiver, was present with 3 two year old children and 1 three year old child.

 
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 facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the fence around the air conditioning units was missing two wooden slats.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

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
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
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Hanah Conrad.
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
Violation
 Provider Comments
Violation
A child three years of age was in the I/T room with five children in attendance.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (5) (B) states: The infant/toddler unit shall not care for children older than two (2) years unless the total number of children in attendance at the time is four (4) or fewer.
Correction Required
A child older than 2 years shall not be in the I/T unless the total number of children in attendance is four or fewer.

Correction Verification
Corrected on Site

Compliance Date
5/20/2021
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