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

11/16/2021

10:59 AM

1:30 PM

UNANNOUNCED

COMPLIANCE MONITORING

2412571795


DocumentDocument-Date
EQUIPMENT LIST 10/29/2021
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 10/06/2021
ARTICLES OF INCORPORATION 03/04/2019
LINES OF ADMINISTRATIVE AUTHORITY 06/13/2020
SAMPLE WEEKLY MENU 07/08/2020
APPLICATION 07/09/2020
ANNUAL DECLARATION 10/29/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 7
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 8
Total Children 39
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS Staff: Jamie Todd and Ciearia Wardlow Age range 3 months though 16 months. Six children under 12 months.
1 4 INFANTS AND TODDLERS Staff: Alexis Lee (Underhill) Age range 12 months through 23 months.
2 19 MIXED Staff: Amanda Gibbs and Kayla Tiller. Age range 3 years through 5 years.
1 0 NO CHILDREN IN ATTENDANCE Staff: Lanee Morgan. Cook.
2 8 TWO YEAR OLDS Staff: Katlyn Constable and Marnie McCloud.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Violation
 Provider Comments
Violation
Posting requirements were not met as evidenced by the posted license was outdated.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit.
Correction Required
The official license shall be posted.

Correction Verification
Corrected on Site

Compliance Date
11/16/2021
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Annual Declaration was not completed as evidenced by incorrect Board President information was listed.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, promulgated as of 2020 and incorporated by reference in this rule. As published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/safety/childcare/forms.php indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Family Care Safety Registry check was not conducted for Lanee Morgan, Patrice Knopp, Marnie McCloud, Madison Swank, Alisha Foster, Katlyn Constable, Amanda Gibbs, Jamie Todd, Summer Page, Cearia Wardlow, Kayla Tiller, Alexis Lee, Addie Ford, and James Youse within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Background screening information was not available for review for James Youse (Letter and FCSR) and Addie Ford (FCSR).
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.

Correction Verification
Submit Documentation

Compliance Date

Violation
Verification of safe sleep training was not documented and maintained as evidenced by Alisha Foster's Safe Sleep training dated 8-25-2020 is not documented in OPEN Initiative.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) states: The training shall be documented and maintained as described in paragraph (3)(F)2. of this rule.
Correction Required
Safe sleep training shall be documented and maintained.

Correction Verification
Submit Documentation

Compliance Date

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 Kelli Pafford (first page for staff).
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

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
Violation
 Provider Comments
Violation
The requirements for nonprescription medications were not met as evidenced by a medication was not labeled by the parent with the child's name.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (3) (D) states: All nonprescription medication shall be in the original container and labeled by the parent(s) with the child's name, and instructions for administration, including the times and amounts for dosages.
Correction Required
Medications shall be stored and labeled as required.

Correction Verification
Corrected on Site

Compliance Date
11/16/2021
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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Spencer Koch.
Licensing Rule Reference
5 CSR 25-600.020 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

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