DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OSAGE COUNTY R-III SCHOOL DISTRICT

001476460

(573) 455-2375

1927 HIGHWAY 63
WESTPHALIA
MO  65085-2214

OSAGE COUNTY R-III SCHOOL DISTRICT

PO BOX 37
WESTPHALIA
MO  65085-0037

HEIMERICKS, TRISHA LOUISE

heimerickst@fatimacomets.org


LAUREN R RAYWARNKE

36 MONTHS - 6 YEARS

58

GROUP HOME AND CENTER

 
Inspection Information

12/23/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2414868481


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/30/2021
ANNUAL DECLARATION 03/30/2021
SAMPLE WEEKLY MENU 05/22/2000
LINES OF ADMINISTRATIVE AUTHORITY 05/22/2000
DIRECTOR'S QUALIFICATIONS 08/10/2004
JOB RESPONSIBILITIES 04/06/2001
SAMPLE FORMS 04/06/2001
POLICIES 04/06/2001
DISCIPLINE POLICIES 04/06/2001
CHILD CARE PRACTICES 04/06/2001
DIAGRAM/OUTDOOR 04/06/2001
DIAGRAM/INDOOR 04/06/2001
DAILY SCHEDULE 04/06/2001
SANITATION INSPECTION 03/19/2021
FIRE/SAFETY INSPECTION 02/08/2021
APPLICATION 02/20/2020
EQUIPMENT LIST 03/30/2021
STAFF SHEET 02/20/2020




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
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Janet Kloeppel.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification
Submit Documentation

Compliance Date
12/23/2021
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
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