DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OZARKS TECHNICAL COMMUNITY COLLEGE

001384765

(417) 447-8130

936 N HAMPTON AVE
SPRINGFIELD
MO  65802-3608

OZARKS TECHNICAL COMMUNITY COLLEGE

1001 E CHESTNUT EXPY
SPRINGFIELD
MO  65802-3625

CROUCH, JENNIFER DIANN

crouchj@otc.edu


ANGEL DONSON

24 MONTHS - 6 YEARS

80

GROUP HOME AND CENTER

 
Inspection Information

08/16/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2406467813


DocumentDocument-Date
SANITATION INSPECTION 06/21/2021
FIRE/SAFETY INSPECTION 05/03/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/04/2017
STAFF SHEET 04/08/2019
ANNUAL DECLARATION 04/05/2021
EQUIPMENT LIST 04/30/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/30/2021
CERTIFICATE OF GOOD STANDING 08/09/2013
DISCIPLINE POLICIES 06/20/2003
ARTICLES OF INCORPORATION 10/23/1995
LINES OF ADMINISTRATIVE AUTHORITY 08/12/1999
JOB RESPONSIBILITIES 08/30/1999
DIRECTOR'S QUALIFICATIONS 09/23/2003
CHILD CARE PRACTICES 08/02/2007
SAMPLE WEEKLY MENU 08/12/1999
DAILY SCHEDULE 08/09/2007
POLICIES 08/02/2007
DIAGRAM/OUTDOOR 08/02/2007
DIAGRAM/INDOOR 08/02/2007
LOCAL ZONING APPROVAL 05/11/2006
LOCAL BUILDING APPROVAL 07/27/2007
APPLICATION 03/01/2019




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
Violation
 Provider Comments
Violation
The annual sanitation inspection was not conducted.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date
6/21/2021
Violation
The annual fire safety inspection was not conducted.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date
5/3/2021
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
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Amanda Walker.
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
7/19/2021
Violation
Medical examination report form did not contain all required information as evidenced by Alexis Wilson, Amanda Walker and Beth Melvin's Medical form was not complete.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
7/19/2021
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
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
Violation
 Provider Comments
Violation
Two child(ren) records did not include work schedule of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
7/26/2021
Violation
Two child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
7/28/2021
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