DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CDI HEAD START

002779720

(660) 234-8785

127 CONGRESS ST
BELTON
MO  64012-2480

CDI HEAD START

702 E OHIO ST
CLINTON
MO  64735-2371

LOPEZ, JUANITA

JLOPEZ@WESTMOHS.ORG

Incorporated

ROBYN EMBREE

6 WEEKS - 5 YEARS

83

GROUP HOME AND CENTER

7 CHILDREN UNDER 12 MONTHS
 
Inspection Information

11/10/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2412252681


DocumentDocument-Date
APPLICATION 06/14/2019
POLICIES 06/27/2019
SAFE SLEEP POLICY 06/27/2019
DAILY SCHEDULE 06/27/2019
SAMPLE WEEKLY MENU 06/27/2019
CHILD CARE PRACTICES 06/27/2019
JOB RESPONSIBILITIES 06/27/2019
LINES OF ADMINISTRATIVE AUTHORITY 06/27/2019
DIRECTOR'S QUALIFICATIONS 06/27/2019
CERTIFICATE OF GOOD STANDING 06/27/2019
STAFF SHEET 07/02/2019
SAMPLE FORMS 07/02/2019
DISCIPLINE POLICIES 07/02/2019
DIAGRAM/INDOOR 07/02/2019
DIAGRAM/OUTDOOR 07/02/2019
ARTICLES OF INCORPORATION 07/02/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 07/02/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/08/2019
LOCAL BUILDING APPROVAL 07/11/2019
LOCAL ZONING APPROVAL 07/11/2019
SANITATION INSPECTION 02/05/2021
FIRE/SAFETY INSPECTION 02/23/2021
EQUIPMENT LIST 05/18/2021
ANNUAL DECLARATION 05/18/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/18/2021




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
Violation
 Provider Comments
Violation
The ceilings located Room A was/were not in good condition as evidenced by water spots/damage on tiles over the tables near the cubbies.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
11/10/2021
Violation
The walls located Room B and Room C was/were not in good condition as evidenced by peeling and chipped paint in Room B bathroom and Room C dramatic play area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
11/10/2021
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
Violation
 Provider Comments
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Tracy Clark and Nicole Focke.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification
Submit Documentation

Compliance Date
11/10/2021
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
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