DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

A TOUCH OF NATURE QUALITY CHILD CARE, INC.

000853349

(417) 862-8385

622 S PICKWICK AVE
SPRINGFIELD
MO  65802-3339

A TOUCH OF NATURE QUALITY CHILD CARE, INC.

1446 E LARK ST
SPRINGFIELD
MO  65804-7315

BRAGG, LESLIE DENISE

atonplus2@aol.com

Incorporated

PENNY KREITZER

24 MONTHS - 12 YEARS

30

GROUP HOME AND CENTER

 
Inspection Information

01/31/2022

11:50 AM

12:42 PM

UNANNOUNCED

COMPLIANCE MONITORING

2417152508


DocumentDocument-Date
ANNUAL DECLARATION 01/24/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/24/2022
LOCAL ZONING APPROVAL 12/09/1996
LOCAL BUILDING APPROVAL 12/09/1996
LINES OF ADMINISTRATIVE AUTHORITY 10/01/1996
SAMPLE WEEKLY MENU 12/30/1998
POLICIES 01/14/2009
JOB RESPONSIBILITIES 01/14/2009
DISCIPLINE POLICIES 01/14/2009
DIRECTOR'S QUALIFICATIONS 12/04/2010
DIAGRAM/OUTDOOR 11/27/1996
DIAGRAM/INDOOR 11/27/1996
DAILY SCHEDULE 12/30/1998
CHILD CARE PRACTICES 12/30/1998
ARTICLES OF INCORPORATION 10/01/1996
SANITATION INSPECTION 12/15/2021
FIRE/SAFETY INSPECTION 10/19/2021
STAFF SHEET 01/24/2022
EQUIPMENT LIST 01/25/2022
APPLICATION 09/21/2018
CERTIFICATE OF GOOD STANDING 01/02/2003

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:00AM   1:00PM   9/12/2012



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 5
Total Children 27
StaffChildClass AgeNote
3 27 MIXED Lia Malone, Colby Patterson, and Sarah Shank, caregivers, were present with 27 children, including 8 two year old children and 19 preschool children. The children were together outside, which put them out of ratio. This was corrected when the children came indoors.
2 0 NO CHILDREN IN ATTENDANCE Leslie Bragg, Director and Vickie Simpson, Board President were also present on the premises.

 
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 2021, the staff listed need the following information: Lia Malone needs 3 additional clock hours showing on OPEN for 2021.
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

5 CSR 25-500.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by 27 children, ages 19 preschool age and 8 two year old children, were cared for by 3 caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children.
Correction Required
Correct staff/child ratios shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
1/31/2022
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