DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CHILDREN'S HOUSE

000173084

(573) 378-5480

418 JEFFERSON ST
VERSAILLES
MO  65084-1126

MORGAN COUNTY DAY CARE ASSOCIATION



 

BORUM, TERRI L

CHHOUSECHHOUSE@YAHOO.COM

Incorporated

ALISON MICHELE EVANS

BIRTH - 11 YEARS

88

GROUP HOME AND CENTER

12 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

11/16/2021

12:00 PM

1:01 PM

UNANNOUNCED

CLOSE SUPERVISION

2412664740


DocumentDocument-Date
ANNUAL DECLARATION 04/14/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/05/2021
DIRECTOR'S QUALIFICATIONS 09/24/2001
LINES OF ADMINISTRATIVE AUTHORITY 07/22/1983
ARTICLES OF INCORPORATION 06/28/1972
SAMPLE FORMS 04/18/1995
CHILD CARE PRACTICES 04/18/1985
SAMPLE WEEKLY MENU 12/11/1980
DAILY SCHEDULE 08/04/2004
POLICIES 04/18/1995
DIAGRAM/OUTDOOR 05/29/1999
DIAGRAM/INDOOR 10/06/2004
LLC ARTICLES OF ORGANIZATION 03/01/1977
LOCAL BUILDING APPROVAL 01/24/1980
LOCAL ZONING APPROVAL 01/24/1980
JOB RESPONSIBILITIES 04/18/1985
DISCIPLINE POLICIES 04/18/1985
APPLICATION 04/24/2019
STAFF SHEET 04/24/2019
EQUIPMENT LIST 04/05/2021
CERTIFICATE OF GOOD STANDING 02/21/2017
SANITATION INSPECTION 02/25/2021
FIRE/SAFETY INSPECTION 03/29/2021




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.
Attendance at Time of Inspection
Total Staff 3
Total Children 8
StaffChildClass AgeNote
1 2 INFANTS AND TODDLERS Mikela Holman (one child over 12 months)
2 6 MIXED Sheila Marriott and Shannon Holman with 6 children which three were 2 year old.

 
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 facility's outdoor space was not safe for children's activities as evidenced by a large tree limb located in pre-school play area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
11/16/2021
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
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Connie Kauffaman as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
11/16/2021
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Connie Kauffman.
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
11/16/2021
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