DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MERCY HOSPITAL SPRINGFIELD

000180709

(417) 820-7955

1831 S FREMONT AVE
SPRINGFIELD
MO  65804

MERCY HOSPITAL SPRINGFIELD

1235 E CHEROKEE ST
SPRINGFIELD
MO  65804-2203

GHAN, KARA GAY

Kara.Ghan@mercy.net

Incorporated

BILLIE RUSSELL

6 WEEKS - 12 YEARS

133

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

07/28/2021

9:45 AM

12:01 PM

UNANNOUNCED

COMPLIANCE MONITORING

2405500186


DocumentDocument-Date
ANNUAL DECLARATION 11/10/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/22/2020
SAMPLE WEEKLY MENU 10/24/1984
POLICIES 10/21/2009
LOCAL ZONING APPROVAL 10/05/2005
LOCAL BUILDING APPROVAL 10/05/2005
LINES OF ADMINISTRATIVE AUTHORITY 01/26/1982
JOB RESPONSIBILITIES 10/31/1997
DISCIPLINE POLICIES 10/21/2009
DIRECTOR'S QUALIFICATIONS 05/19/2006
DAILY SCHEDULE 10/24/1997
ARTICLES OF INCORPORATION 03/24/1982
CHILD CARE PRACTICES 10/21/2009
CERTIFICATE OF GOOD STANDING 08/29/2013
DIAGRAM/INDOOR 08/14/2014
DIAGRAM/OUTDOOR 08/15/2014
APPLICATION 09/26/2019
FIRE/SAFETY INSPECTION 07/29/2019
SANITATION INSPECTION 07/21/2020
STAFF SHEET 12/22/2020
EQUIPMENT LIST 12/22/2020
SAFE SLEEP POLICY 10/09/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/09/2019




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 13
Total Children 45
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS Jenn Smith and Jena Sweat in the Teddy Bear room with two (2) children 12 to 24 months and three (3) children 2 years old.
2 0 NO CHILDREN IN ATTENDANCE Leslie Harvey and Teresa Chiusolo
2 5 PRESCHOOL Liz Fortney and Whitney Temple in the Rainbow room.
1 7 PRESCHOOL Lois Polocoser in the Butterfly room.
2 8 PRESCHOOL Shella Jones and Kim Jones in the Sunshine room.
1 8 PRESCHOOL Becky Wessel in the Stair Catcher room.
1 3 PRESCHOOL Linda Manning in the Supper Kids room.
2 9 TWO YEAR OLDS Misty Cramer and Mona McCane in the Strawberry Patch room.

 
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 has not met the requirements for fire and safety as evidenced by the inspection has not been conducted.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility has not met the requirements for state or local sanitation as evidenced by the inspection has not been conducted.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.

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
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
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