DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MARYVILLE HEAD START

000603609

(660) 582-4347

1212 D S MAIN ST
MARYVILLE
MO  64468

COMMUNITY SERVICES, INCORPORATED, OF NORTHWEST MISSOURI



 

COVEY, ASHLEY RENEE

LAUFFERT@CSINWMO.ORG

Incorporated

CHRISTINA BRUCE

36 MONTHS - 6 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

03/22/2021

10:00 AM

11:45 AM

UNANNOUNCED

COMPLIANCE MONITORING

2402177174


DocumentDocument-Date
SANITATION INSPECTION 12/11/2020
FIRE/SAFETY INSPECTION 11/05/2020
ANNUAL DECLARATION 02/18/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/18/2021
LINES OF ADMINISTRATIVE AUTHORITY 10/03/1994
JOB RESPONSIBILITIES 10/03/1994
DISCIPLINE POLICIES 10/03/1994
ARTICLES OF INCORPORATION 01/10/2013
CHILD CARE PRACTICES 10/03/1994
POLICIES 10/03/1994
SAMPLE WEEKLY MENU 10/03/1994
LOCAL BUILDING APPROVAL 03/29/1999
LOCAL ZONING APPROVAL 03/29/1999
DAILY SCHEDULE 06/28/1995
DIAGRAM/OUTDOOR 03/18/1999
DIAGRAM/INDOOR 03/18/1999
DIRECTOR'S QUALIFICATIONS 05/01/2018
APPLICATION 11/27/2018
EQUIPMENT LIST 02/18/2021
STAFF SHEET 01/16/2019
CERTIFICATE OF GOOD STANDING 01/16/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 6
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 7
Total Children 20
StaffChildClass AgeNote
3 13 MIXED Staff: Kathy Brown, Megan McClain, Taige Weingrad with 13 children ages 3 to 5 years old.
2 7 MIXED Staff: Ashley Covey & Sady Sharp with 7 children ages 3 to 5 years old
2 0 NO CHILDREN IN ATTENDANCE Katie Wray-Cook; Destny Klosek-Family Advocate

 
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 Family Care Safety Registry check was not conducted for Lori Seymour, Abigail Davis, Darbi Fuhrman, Destiny Klosek, Katie Wray, Taige Werngrad, Dady Sharp, Kelsie Shaw, Ashley Covey, Rebecca Lance, Megan McClain, Alyssa Lowe, and Kaylie Thomas 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

19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: sunscreen, shaving cream, spray bottle with unidentified liquid, hand lotion, First Aid Cabinet, Borox. The item(s) was/were located in the West Room in storage cabinets and first aid cabinet on wall. In the East Room in the art cabinet.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
3/22/2021
Violation
The walls located in the East Room under window on east side was/were not in good condition as evidenced by chipping paint.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The bathroom was not clean and odor free as evidenced by the wall was soiled.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.

Correction Verification
Corrected on Site

Compliance Date
3/22/2021
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
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: Destiny Klosek and Megan McClain.
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

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: Darbi Fuhrman-1 hour; Megan McClain-1 hour; Kaylie Thomas-3 hours.
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
Violation
 Provider Comments
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Abigail Davis, Destiny Klosek & Megan McClain.
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

Violation
Medical examination report(s) was/were not on file for Abigail Davis as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be 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
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