DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

TIGER CUB CARE

002692199

(660) 465-8511

450 E SIGLER AVE
MEMPHIS
MO  63555-1726

SCOTLAND COUNTY MEMORIAL HOSPITAL DISTRICT



 

SHIVELY, JESSICA SHALEE

clinel@scotlandcountyhospital.com


BETHANY C DUCKWORTH

BIRTH - 12 YEARS

24

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

12/13/2021

12:01 PM

12:01 PM

UNANNOUNCED

SUPPLEMENTAL

2414152300


DocumentDocument-Date
ANNUAL DECLARATION 04/05/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/05/2021
APPLICATION 01/18/2019
SAFE SLEEP POLICY 02/08/2019
SANITATION INSPECTION 02/02/2021
FIRE/SAFETY INSPECTION 02/24/2021
REGISTERING FICTITIOUS NAMES 11/22/2017
POLICIES 02/11/2019
CHILD CARE PRACTICES 02/11/2019
DAILY SCHEDULE 02/11/2019
LINES OF ADMINISTRATIVE AUTHORITY 03/13/2019
DISCIPLINE POLICIES 02/11/2019
DIRECTOR'S QUALIFICATIONS 03/22/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/12/2019
JOB RESPONSIBILITIES 03/13/2019
EQUIPMENT LIST 04/05/2021
SAMPLE WEEKLY MENU 03/13/2019
LOCAL ZONING APPROVAL 03/20/2019
DIAGRAM/INDOOR 03/13/2019
SAMPLE FORMS 03/13/2019
STAFF SHEET 05/22/2019
DIAGRAM/OUTDOOR 04/22/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
5 CSR 25-500.087 Fire Safety
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The director was not responsible for the daily planning, monitoring and managing of the facilities program as evidenced by Lezah Cline notified Office of Childhood that current director, Jessica Shively, resigned.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 1. . states: An approved certificated group child care home provider or center director shall be responsible for planning, monitoring, and managing the facility’s daily program.
Correction Required
The director or group home provider shall be responsible for the daily program.

Correction Verification
Submit Documentation

Compliance Date

Violation
The director is not routinely on duty, as evidenced by Lezah Cline notified Office of Childhood that current director, Jessica Shively, resigned.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 2. states: Center directors and group child care home providers routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group child care home provider shall be on duty at least fifty percent (50%) of the operating hours.
Correction Required
The director/group home provider shall be routinely on duty, as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.152 Hourly Care Facilities
Not Observed
5 CSR 25-500.162 Overlap Care of Children
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed