DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CROCKER ACADEMY INC.

000467589

(573) 736-5922

324 S COMMERCIAL ST
CROCKER
MO  65452-9112

CROCKER ACADEMY INC.

PO BOX 222
CROCKER
MO  65452

ALLEN, KELI M

kelihelton@yahoo.com

Incorporated

SHELBY N KOETTING

24 MONTHS - 12 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

05/20/2021

12:20 PM

1:34 PM

UNANNOUNCED

COMPLIANCE MONITORING

2400549669


DocumentDocument-Date
DISCIPLINE POLICIES 08/14/2012
REGISTERING FICTITIOUS NAMES 06/14/2012
ARTICLES OF INCORPORATION 04/27/1992
LOCAL ZONING APPROVAL 08/14/1992
LINES OF ADMINISTRATIVE AUTHORITY 08/14/1992
JOB RESPONSIBILITIES 09/02/1992
SAMPLE FORMS 06/30/2008
CHILD CARE PRACTICES 08/14/1992
SAMPLE WEEKLY MENU 08/14/1992
DAILY SCHEDULE 08/14/1992
POLICIES 08/14/1992
DIAGRAM/OUTDOOR 08/14/1992
DIAGRAM/INDOOR 08/14/1992
APPLICATION 08/13/2020
STAFF SHEET 07/28/2020
EQUIPMENT LIST 07/28/2020
FIRE/SAFETY INSPECTION 06/22/2020
SANITATION INSPECTION 07/31/2020
DIRECTOR'S QUALIFICATIONS 09/19/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   6/8/2010



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 2
Total Children 20
StaffChildClass AgeNote
2 20 MIXED Keli Allen and Zoie Helton with 20 children (2 children age 2 years, 18 preschool).

 
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's outdoor space was not safe for children's activities as evidenced by hole under building that could allow animals to hide in. This hole has concrete cinder blocks around it to keep animals out, but the blocks have been moved and the hole is still accessible.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Corrected on Site

Compliance Date
5/20/2021
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that an outlet was uncovered next to the computers.
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
5/20/2021
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, brown leather kid-sized couch, in the side room was not in good condition as evidenced by rips on arms of couch, making it a difficult surface to clean.
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
5/20/2021
19 CSR 30-62.102 Personnel
Compliance
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for one child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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