DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

STEPHEN'S HOUSE

001612517

(816) 741-5056

5755 N NORTHWOOD RD
KANSAS CITY
MO  64151

LOS NINOS III, INC.



 

KRUG, JANICE

OSUBALLGIRL12@ATT.NET

Incorporated

CHRISTINA BRUCE

6 WEEKS - 12 YEARS

116

GROUP HOME AND CENTER

32 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

04/16/2021

12:25 PM

2:26 PM

UNANNOUNCED

COMPLIANCE MONITORING

2402499364


DocumentDocument-Date
APPLICATION 06/26/2019
CERTIFICATE OF GOOD STANDING 06/26/2019
STAFF SHEET 06/26/2019
EQUIPMENT LIST 06/26/2019
SANITATION INSPECTION 08/27/2020
DISCIPLINE POLICIES 09/14/2001
LINES OF ADMINISTRATIVE AUTHORITY 09/14/2001
JOB RESPONSIBILITIES 09/14/2001
DIRECTOR'S QUALIFICATIONS 04/28/2003
CHILD CARE PRACTICES 09/14/2001
DAILY SCHEDULE 09/14/2001
POLICIES 09/14/2001
DIAGRAM/OUTDOOR 09/19/2001
DIAGRAM/INDOOR 12/22/2004
ARTICLES OF INCORPORATION 09/14/2001
SAMPLE WEEKLY MENU 06/12/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/30/2018
SAFE SLEEP POLICY 01/30/2018
LOCAL BUILDING APPROVAL 09/10/2001
LOCAL FIRE DEPARTMENT NOTIFICATION 10/17/2017
FIRE/SAFETY INSPECTION 08/13/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 17
Total Children 76
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS 5m-14m Lauren Rhoad, Case Wells
2 6 INFANTS AND TODDLERS 6m-12m Cassie Glass, Adriana Bustamante
2 6 INFANTS AND TODDLERS 22m-23m Ashley Ward, Tara Rhoad
2 7 INFANTS AND TODDLERS 18m-21m Linda Reents, Christina Lindow
2 0 NO CHILDREN IN ATTENDANCE Jan Krug, Nikki Wells
1 8 PRESCHOOL 3s-4s Lesttie Tena
1 6 PRESCHOOL 4s-5s Taylor Seyler
1 8 PRESCHOOL 4s-5s Lauren Diedrichs
1 7 PRESCHOOL 4s Katherine Shultz
1 8 PRESCHOOL 3s Robin Paris
1 7 TWO YEAR OLDS Markaila Bolden
1 8 TWO YEAR OLDS Angelica Hernandez

 
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 ceilings located room 13 was/were not in good condition as evidenced by stained ceiling tiles.
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
7/22/2020
Violation
Diapering requirements were not met as evidenced by the diapering table was not safe in that there was no barrier to keep a child from falling off the edge (room 7).
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

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
Violation
 Provider Comments
Violation
Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment.
Correction Required
Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

Correction Verification
Corrected on Site

Compliance Date
4/16/2021
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
Safe sleep training was not completed within the past 3 years for the following staff Linda Reents.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Background screening information was not available for review for Erica McIntyre.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.

Correction Verification
Submit Documentation

Compliance Date
4/16/2021
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2019, the staff listed need the following information: Casey Wells (1.5 more hours), Tara Rhoad (1 more hour).
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
4/16/2021
Violation
A caregiver did not submit the Clock Hour Training Reassignment form to apply current year's clock hours for the prior year. The following staff need clock hours reassigned to the previous year: Markaila Bolden (1.25), Cassondra Glass (7), Katherine Schultz (1.25), Taylor Seyler (7), Lesttie Tena (1.5), Ashley Ward (1). Reassignment form was submitted to OPEN on 4/8/21 but the hours have not been reassigned yet.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (K) states: Clock hours earned to complete the previous year’s requirements shall not be applied to the current year’s clock hour requirements. Caregivers shall submit the Clock Hour Training Credit Reassignment form to the OPEN Initiative to assign clock hours to the appropriate year. See Clock Hours Training Credit Reassignment form promulgated as of 2018 and incorporated by reference in this rule. As published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/safety/childcare/forms.php. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Caregivers shall submit the Clock Hour Training Credit Reassignment form to reassign current year's clock hours to the prior year.

Correction Verification
Submit Documentation

Compliance Date

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