DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

A STEP ABOVE, L.L.C.

001814924

(816) 532-3104

303 N US HIGHWAY 169
SMITHVILLE
MO  64089-9501

A STEP ABOVE, L.L.C.

704 QUINCY BLVD
SMITHVILLE
MO  64089-8614

UPTEGROVE, HEIDI ROSE

astepabove.smithville@gmail.com


JOHN GREER

6 WEEKS - 12 YEARS

71

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS
 
Inspection Information

01/10/2022

9:55 AM

11:47 AM

UNANNOUNCED

COMPLIANCE MONITORING

2415794837


DocumentDocument-Date
SAMPLE FORMS 01/04/2005
OWNER/PROVIDER REFERENCES 01/14/2003
LLC OPERATING AGREEMENT 01/04/2005
DIRECTOR'S QUALIFICATIONS 09/27/2011
DIAGRAM/INDOOR 01/12/2005
CHILD CARE PRACTICES 01/04/2005
POLICIES 01/12/2005
LOCAL ZONING APPROVAL 01/12/2005
LINES OF ADMINISTRATIVE AUTHORITY 01/12/2005
DISCIPLINE POLICIES 01/12/2005
DIAGRAM/OUTDOOR 01/12/2005
DAILY SCHEDULE 01/04/2005
ARTICLES OF INCORPORATION 01/04/2005
SAMPLE WEEKLY MENU 11/24/2014
SAFE SLEEP POLICY 01/10/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/29/2017
APPLICATION 11/08/2018
STAFF SHEET 11/09/2018
JOB RESPONSIBILITIES 01/04/2005
LOCAL BUILDING APPROVAL 01/12/2005
ANNUAL DECLARATION 11/24/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/24/2020
EQUIPMENT LIST 11/24/2020
SANITATION INSPECTION 11/13/2020
FIRE/SAFETY INSPECTION 03/04/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 10
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 8
Total Children 37
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Monica Molinar and Tiffanie Rizmann were present with 7 children, all one year old.
1 2 INFANTS AND TODDLERS Ronda Frye was present with 2 children three months to eighteen months of age.
2 14 MIXED Lori Johnson and Andrea Hodges were present with 14 children. 7 two year olds and 7 three year olds.
1 0 NO CHILDREN IN ATTENDANCE Janet Worley was present with no children.
2 14 PRESCHOOL Katie Fish and Robyn Warner were present with 14 children ages three to five years 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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Taylor Baldwin, Laura Dixon, Ronda Frye, Andrea Hodges, Laurie Johnson, Cheyenne Reece, Haylie Stapleton, Krista Thompson, and Anna Peoples within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, promulgated as of 2020 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 indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
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 fire drills were not held at least one time each month.
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
Violation
 Provider Comments
Violation
Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.092 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 2021, the staff listed need the following information: Monica Molinar-Alcantar, Tiffanie Ritzman, Robyn Warner, Emma Worley, and Janet Worley.
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

Violation
Verification of safe sleep training was not documented and maintained as evidenced by Katherine Fish, Monica Molinar-Alcantar, Haylie Stapleton, Krista Thompson, Robyn Warner, and Emma Worley did not have their safe sleep training recorded in Open.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) states: The training shall be documented and maintained as described in paragraph (3)(F)2. of this rule.
Correction Required
Safe sleep training shall be documented and maintained.

Correction Verification
Submit Documentation

Compliance Date

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 Taylor Baldwin and Anna Peoples 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

Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Taylor Baldwin.
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

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