DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SUSIE'S STAY-N-PLAY DAYCARE

000651316

(573) 632-0241

2411 ALLISON DR
JEFFERSON CITY
MO  65109

SZUMIGALA, JERRI SUE



 

SZUMIGALA, JERRI SUE

SNUZ369@SOCKET.NET


LAUREN R RAYWARNKE

6 WEEKS - 12 YEARS

44

GROUP HOME AND CENTER

18 CHILDREN UNDER 12 MONTHS; 22 CHILDREN UNDER 24 MONTHS
 
Inspection Information

12/16/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2414448239


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 07/02/2002
SAMPLE FORMS 07/02/2002
CHILD CARE PRACTICES 05/05/2009
JOB RESPONSIBILITIES 05/05/2009
DIRECTOR'S QUALIFICATIONS 05/05/2009
SAMPLE WEEKLY MENU 05/05/2009
DAILY SCHEDULE 05/05/2009
POLICIES 05/05/2009
DIAGRAM/INDOOR 05/05/2009
REGISTERING FICTITIOUS NAMES 08/17/1999
OWNER/PROVIDER REFERENCES 08/11/2000
DISCIPLINE POLICIES 07/02/2002
LOCAL BUILDING APPROVAL 05/05/2009
LOCAL ZONING APPROVAL 05/05/2009
STAFF SHEET 08/17/2020
APPLICATION 08/17/2020
DIAGRAM/OUTDOOR 07/02/2018
EQUIPMENT LIST 07/28/2021
SANITATION INSPECTION 06/02/2021
FIRE/SAFETY INSPECTION 06/02/2021
ANNUAL DECLARATION 07/28/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/26/2021

Overlap Start TimeOverlap End TimeOverlap Submit Date
  4:00PM   5:00PM   12/21/2012
  7:30AM   8:30AM   12/21/2012



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
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2020, the staff listed need the following information: Elizabeth Baumhoer.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date
12/16/2021
Violation
A caregiver did not submit the Clock Hour Training Reassignment form to apply current year's clock hours for the prior year. The following staff need clock hours reassigned to the previous year: Elizabeth Baumhoer will need 5 training hours transferred back to 2020, employed 8-4-2020.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (K) states: Clock hours earned to complete the previous year’s requirements shall not be applied to the current year’s clock hour requirements. Caregivers shall submit the Clock Hour Training Credit Reassignment form to the OPEN Initiative to assign clock hours to the appropriate year. See Clock Hours Training Credit Reassignment form promulgated as of 2018 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. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Caregivers shall submit the Clock Hour Training Credit Reassignment form to reassign current year's clock hours to the prior year.

Correction Verification
Submit Documentation

Compliance Date
12/16/2021
Violation
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Elizabeth Baumhoer will need 5 hours of training for 2020, employed 8-4-2020.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date
12/16/2021
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 Andrea Haller 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
12/10/2021
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Andrea Haller and Jennifer Szumigala.
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
12/10/2021
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