DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BRIGHT BEGINNINGS

002681834

(573) 221-0586

1 YMCA DR
HANNIBAL
MO  63401

YOUNG MEN'S CHRISTIAN ASSOCIATION OF HANNIBAL, MISSOURI



 

PAGE, SUMMER

summer.page@ymcaofhannibal.com

Incorporated

BETHANY C DUCKWORTH

BIRTH - 6 YEARS

52

GROUP HOME AND CENTER

14 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS; 14 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/10/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2406013082


DocumentDocument-Date
EQUIPMENT LIST 07/17/2020
DAILY SCHEDULE 07/17/2020
DIAGRAM/OUTDOOR 07/17/2020
DIAGRAM/INDOOR 07/17/2020
REGISTERING FICTITIOUS NAMES 03/04/2019
STAFF SHEET 07/06/2021
SAFE SLEEP POLICY 09/03/2020
POLICIES 08/31/2020
LOCAL ZONING APPROVAL 09/03/2020
JOB RESPONSIBILITIES 09/03/2020
DISCIPLINE POLICIES 09/03/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/31/2020
CHILD CARE PRACTICES 08/31/2020
CERTIFICATE OF GOOD STANDING 09/04/2020
DIRECTOR'S QUALIFICATIONS 06/28/2017
SANITATION INSPECTION 07/06/2021
LICENSING ORIENTATION 10/12/2017
FIRE/SAFETY INSPECTION 10/07/2020
ARTICLES OF INCORPORATION 03/04/2019
LINES OF ADMINISTRATIVE AUTHORITY 06/13/2020
SAMPLE WEEKLY MENU 07/08/2020
APPLICATION 07/09/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

 
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
Compliance
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
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 9-1-2020.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/2/2021
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Alexis Lee.
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
8/10/2021
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 three (3) 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
8/2/2021
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