DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SEYMOUR R-II SCHOOL DISTRICT

001378950

(417) 935-2287

425 E CENTER AVE
SEYMOUR
MO  65746-8955

SEYMOUR R-II SCHOOL DISTRICT

416 E CLINTON AVE
SEYMOUR
MO  65746-8938

ERVIN, JULIE DAWN

jervin@seymourschool.net


ELAINE S COX

36 MONTHS - 5 YEARS

30

GROUP HOME AND CENTER

 
Inspection Information

09/17/2021

12:46 PM

2:15 PM

UNANNOUNCED

COMPLIANCE MONITORING

2408519727


DocumentDocument-Date
STAFF SHEET 05/26/2020
APPLICATION 03/19/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 04/08/2019
LOCAL ZONING APPROVAL 10/08/1999
LINES OF ADMINISTRATIVE AUTHORITY 11/19/1999
SAMPLE WEEKLY MENU 11/19/1999
CHILD CARE PRACTICES 03/30/2011
DAILY SCHEDULE 03/30/2011
DISCIPLINE POLICIES 03/30/2011
DIAGRAM/INDOOR 08/01/2016
DIAGRAM/OUTDOOR 08/01/2016
DIRECTOR'S QUALIFICATIONS 02/06/2002
JOB RESPONSIBILITIES 11/19/1999
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/06/2018
SANITATION INSPECTION 01/20/2021
FIRE/SAFETY INSPECTION 12/22/2020
EQUIPMENT LIST 03/22/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/22/2021
ANNUAL DECLARATION 03/22/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 4
Total Children 25
StaffChildClass AgeNote
2 12 PRESCHOOL Emily Hensley and Kendra Harris with 12 children ages 3-5 years.
2 13 PRESCHOOL Brandy Farris and Rebecca Shelton with 13 children ages 3-5 years.

 
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
Doors to the bathroom or stalls did not meet requirements as evidenced by there was a latch on the bathroom stall.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 5. states: Locks or latches shall not be used on bathroom or bathroom stall doors used by children below the first grade.
Correction Required
Doors to bathrooms or stalls, used by children below the first grade, shall not have locks or latches.

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
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 1 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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Rebecca Shelton and Kendra Harris.
Licensing Rule Reference
19 CSR 30-63.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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