DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CLINTON SCHOOL DISTRICT

001445458

(660) 885-5845

502 S 5TH ST
CLINTON
MO  64735-2216

CLINTON SCHOOL DISTRICT



 

RAGAN, JILL L

jragan@clintoncardinals.org


KELLY L SCHEUERMAN

36 MONTHS - 5 YEARS

95

GROUP HOME AND CENTER

 
Inspection Information

11/19/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2412828211


DocumentDocument-Date
POLICIES 12/18/2015
DAILY SCHEDULE 04/17/2008
CHILD CARE PRACTICES 12/18/2015
JOB RESPONSIBILITIES 06/28/2000
SAMPLE WEEKLY MENU 02/19/2000
DIRECTOR'S QUALIFICATIONS 07/02/2008
DISCIPLINE POLICIES 12/18/2015
LINES OF ADMINISTRATIVE AUTHORITY 06/28/2000
DIAGRAM/INDOOR 12/18/2015
DIAGRAM/OUTDOOR 12/18/2015
SANITATION INSPECTION 02/01/2021
APPLICATION 12/17/2020
EQUIPMENT LIST 12/17/2020
STAFF SHEET 12/17/2020
FIRE/SAFETY INSPECTION 02/02/2021
ANNUAL DECLARATION 12/17/2020




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
Violation
 Provider Comments
Violation
Outdoor equipment, sandbox, in the outdoor play area was unsafe as evidenced by black plastic ground covering sticking up through the sand.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date
10/21/2021
Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the climber in the indoor play space is not in good condition as the flooring on the equipement is broken causing sharp edges to be exposed.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.

Correction Verification
Submit Documentation

Compliance Date
10/21/2021
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 Autumn Foulk 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
10/21/2021
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Autumn folk and Jennifer Petry.
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
10/21/2021
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