DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BOARD OF TRUSTEES OF NORTH KANSAS CITY HOSPITAL

000942323

(816) 691-2058

2551 CLAY EDWARDS DR
NORTH KANSAS CITY
MO  64116

BOARD OF TRUSTEES OF NORTH KANSAS CITY HOSPITAL



 

WUNDER, SUSAN GAYLE

SUSY.WUNDER@NKCH.ORG


GREGG GILLEN

6 WEEKS - 16 YEARS

196

GROUP HOME AND CENTER

48 CHILDREN IN THE INFANT/TODDLER UNIT; 27 CHILDREN UNDER 12 MONTHS; 48 CHILDREN UNDER 24 MONTHS
 
Inspection Information

06/15/2021

12:00 PM

3:30 PM

UNANNOUNCED

COMPLIANCE MONITORING

2402387033


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/15/2021
ANNUAL DECLARATION 03/25/2021
DIRECTOR'S QUALIFICATIONS 11/07/1995
DISCIPLINE POLICIES 05/09/1997
SAMPLE WEEKLY MENU 05/09/1997
JOB RESPONSIBILITIES 02/13/1997
LINES OF ADMINISTRATIVE AUTHORITY 05/09/1997
LLC ARTICLES OF ORGANIZATION 02/13/1997
DAILY SCHEDULE 05/09/1997
SAMPLE FORMS 05/09/1997
CHILD CARE PRACTICES 05/09/1997
LOCAL BUILDING APPROVAL 05/28/1997
LOCAL ZONING APPROVAL 05/28/1997
POLICIES 05/09/1997
DIAGRAM/INDOOR 08/04/2000
DIAGRAM/OUTDOOR 08/04/2000
APPLICATION 03/04/2019
EQUIPMENT LIST 06/15/2021
STAFF SHEET 04/09/2019
SAFE SLEEP POLICY 08/17/2016
FIRE/SAFETY INSPECTION 04/14/2021
SANITATION INSPECTION 08/19/2020




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 30
Total Children 125
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS Carolina Saldana and Jessie Youngblood were caring for eight children all 12-23 months old
2 8 INFANTS AND TODDLERS Shaniqua Wade and Jaqueline Calderon were caring for eight children all 12-23 months old
2 7 INFANTS AND TODDLERS Carolyn Rodriquez and Makenzie Perez were caring for seven children all 12-23 months old
2 7 INFANTS AND TODDLERS Karen Soto and Jessica Welch were caring for seven children between 3 months and 15 months
1 4 INFANTS AND TODDLERS Magan Barnett was caring for four children between 5 months and 11 months
2 8 INFANTS AND TODDLERS Betty Maupin and Brenda Carson were caring for eight children between 3 months and 14 months
7 0 NO CHILDREN IN ATTENDANCE Susan Wunder (Director), Tracy Miller (Office Coordinator), Janet Hagan ( Office Coordinator), Jodi Barnhart (Cook), Melissa Perez (Teacher), Katherine Withee (Teacher) and Meghan Whipple (Teacher) were at the facility with no children
2 13 PRESCHOOL Heather Blair and Sarah Kimbrell were caring for thirteen children 4-5 years old
2 16 PRESCHOOL Tracy Nichols and Jessica Piatt were caring for sixteen children 3-4 years old
2 13 PRESCHOOL Misty Jones and Shanon Powers were caring for thirteen children 4-5 years old
2 18 PRESCHOOL Cheryl Miller and Elizabeth Eastburn were caring for eighteen children 3-4 years old
2 9 TWO YEAR OLDS LeAnn Hiserote and Vivien Steenstra were caring for nine children all 2 years old
2 14 TWO YEAR OLDS Janice Johnson and Melissa Sunderland were caring for fourteen children all 2 years old

 
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
Hazardous items as follows were accessible to children: bottle of bleach. The item(s) was/were located unlocked cabinet in Rufflemutt Room.
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
6/15/2021
19 CSR 30-62.087 Fire Safety
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

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
Compliance
19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.142 Nighttime Care
Not Observed
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 3 immunization record(s) was/were not on file.
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