DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

FAMILY SELF-HELP CENTER, INC.

000199119

(417) 782-1772

1809 S CONNOR AVE
JOPLIN
MO  64804-1837

FAMILY SELF-HELP CENTER, INC.



 

SIMEK, SUZANNE JESSIE

suzannesimek@lafayettehouse.org

Incorporated

PENNY KREITZER

6 WEEKS - 12 YEARS

67

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT; 9 CHILDREN UNDER 12 MONTHS
 
Inspection Information

01/18/2022

10:20 AM

11:20 AM

UNANNOUNCED

COMPLIANCE MONITORING

2416288511


DocumentDocument-Date
SAMPLE FORMS 10/21/2016
SAFE SLEEP POLICY 01/29/2016
DISCIPLINE POLICIES 02/18/1986
LOCAL FIRE DEPARTMENT NOTIFICATION 06/09/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/23/2021
ANNUAL DECLARATION 04/23/2021
LOCAL ZONING APPROVAL 04/29/2009
LOCAL BUILDING APPROVAL 04/25/2005
JOB RESPONSIBILITIES 06/07/1993
CHILD CARE PRACTICES 05/19/1993
SAMPLE WEEKLY MENU 05/19/1993
DAILY SCHEDULE 04/30/1986
POLICIES 05/19/1993
DIAGRAM/OUTDOOR 07/06/1988
DIAGRAM/INDOOR 04/30/2003
DIRECTOR'S QUALIFICATIONS 05/01/2001
LINES OF ADMINISTRATIVE AUTHORITY 02/18/1986
ARTICLES OF INCORPORATION 10/15/1985
CERTIFICATE OF GOOD STANDING 04/23/2021
EQUIPMENT LIST 04/23/2021
STAFF SHEET 03/14/2019
APPLICATION 03/14/2019
SANITATION INSPECTION 03/29/2021
FIRE/SAFETY INSPECTION 04/30/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/09/2020

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   5/24/2017



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 7
Total Children 22
StaffChildClass AgeNote
2 2 INFANTS AND TODDLERS Julia Gray and Ona Kelly, Caregivers with 2 infants, ages 8 and 9 months.
2 4 INFANTS AND TODDLERS Kira Newhouse and Donna Hutchcraft, Caregivers with 4 one year old children.
1 9 PRESCHOOL Sherri Brinkoetter, Caregiver. Suzanne Simek, Director was also assisting in this class as needed.
2 7 TWO YEAR OLDS Alyssa Clines and Jeffrey Salem, Caregivers.

 
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
Safe sleep training was not completed within the past 3 years for the following staff EVA BLAKELY, KIRA NEWHOUSE, JEFFREY SALEM AND REANNA SEAMAN.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.

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
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 8/26/2021.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and 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