DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

WILD BLOOMS CHILDCARE CENTER LLC

002728561

(573) 491-3799

328 STATE ROAD AE
NEW BLOOMFIELD
MO  65063-5402

WILD BLOOMS CHILDCARE CENTER LLC

8575 STATE ROAD BB
NEW BLOOMFIELD
MO  65063-1335

SCHAFFER, ALAXANDRA NICOLE

wildbloomschildcare@gmail.com


JIM PARSLEY

6 WEEKS - 12 YEARS

60

GROUP HOME AND CENTER

8 CHILDREN UNDER 12 MONTHS; 15 CHILDREN UNDER 24 MONTHS
 
Inspection Information

10/20/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2410845169


DocumentDocument-Date
SAFE SLEEP POLICY 08/01/2018
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/18/2020
ANNUAL DECLARATION 11/18/2020
APPLICATION 09/05/2018
CHILD CARE PRACTICES 08/01/2018
DIAGRAM/INDOOR 09/05/2019
DAILY SCHEDULE 09/05/2019
DIAGRAM/OUTDOOR 09/11/2018
DIRECTOR'S QUALIFICATIONS 08/30/2018
DISCIPLINE POLICIES 08/01/2018
EQUIPMENT LIST 11/18/2020
LLC OPERATING AGREEMENT 08/01/2018
LLC ARTICLES OF ORGANIZATION 08/01/2018
LINES OF ADMINISTRATIVE AUTHORITY 07/26/2018
POLICIES 08/01/2018
SAMPLE FORMS 08/01/2018
STAFF SHEET 07/26/2018
SAMPLE WEEKLY MENU 08/01/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/05/2019
FIRE/SAFETY INSPECTION 08/03/2020
SANITATION INSPECTION 07/22/2020
LOCAL ZONING APPROVAL 09/19/2018
JOB RESPONSIBILITIES 09/26/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 08/18/2018
LOCAL BUILDING APPROVAL 09/19/2018




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.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Kaci Jordan .
Licensing Rule Reference
5 CSR 25-500.122 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
10/20/2021
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.152 Hourly Care Facilities
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 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