DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SMALL WONDERS CHILDCARE CENTER RAINTREE, LLC

002914743

(636) 797-2273

6008 STATE ROAD B
HILLSBORO
MO  63050-3048

SMALL WONDERS CHILDCARE CENTER RAINTREE, LLC



 

RAMSEY, TIFFANY D

tiffany@yoursmallwonders.com


BRITTANY HECHT

BIRTH - 12 YEARS

64

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT; 14 CHILDREN UNDER 12 MONTHS
 
Inspection Information

02/01/2022

12:10 PM

3:01 PM

UNANNOUNCED

POST LICENSING

2417262585


DocumentDocument-Date
APPLICATION 09/22/2021
CERTIFICATE OF GOOD STANDING 09/22/2021
CHILD CARE PRACTICES 10/15/2021
DAILY SCHEDULE 10/04/2021
DISCIPLINE POLICIES 10/04/2021
EQUIPMENT LIST 10/18/2021
JOB RESPONSIBILITIES 10/04/2021
LINES OF ADMINISTRATIVE AUTHORITY 10/13/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/18/2021
LOCAL FIRE DEPARTMENT NOTIFICATION 10/18/2021
POLICIES 10/04/2021
SAFE SLEEP POLICY 10/04/2021
SAMPLE FORMS 10/04/2021
SAMPLE WEEKLY MENU 10/04/2021
LICENSING ORIENTATION 10/06/2021
LLC ARTICLES OF ORGANIZATION 09/22/2021
LLC OPERATING AGREEMENT 10/18/2021
DIAGRAM/INDOOR 10/18/2021
DIAGRAM/OUTDOOR 10/18/2021
DIRECTOR'S QUALIFICATIONS 10/18/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/27/2021
FIRE/SAFETY INSPECTION 10/19/2021
LOCAL BUILDING APPROVAL 10/20/2021
LOCAL ZONING APPROVAL 10/20/2021
SANITATION INSPECTION 10/22/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 7
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 10
Total Children 34
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Kay (Nelda) Smith, Caregiver 4 - 5-14 Month Olds
2 4 MIXED Deanna Ritch & Kayla Comte, Caregivers 3 - 13-23 Month Olds 1 - 2 Year Old
1 9 MIXED Lindsey West, Caregiver 3 - 2 Year Olds 6 - 3 Year Olds
3 0 NO CHILDREN IN ATTENDANCE Tiffany Ramsey, Director Annette Vaughn, Managing Member Samantha Heinzer, Caregiver on Break
1 0 NO CHILDREN IN ATTENDANCE Kayla West, Cook
1 7 PRESCHOOL Tabitha Heinzer, Caregiver 7 - 4 & 5 Year Olds
1 10 PRESCHOOL Cheyenne Wilson, Caregiver 10 - 3 & 4 Year Olds

 
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
Violation
 Provider Comments
Violation
The floors located in the School Age Room was/were not in good condition as evidenced by several (25) floor tiles were cracked.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The walls located in the Preschool Room was/were not finished with material which can be cleaned easily as evidenced by the top of the red half door was not painted exposing bare wood.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The walls located in the 2 & 3 Year Old Room was/were not finished with material which can be cleaned easily as evidenced by the top of the green half door was not painted exposing bare wood.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Furniture/equipment, the small shelf, in the Preschool Room was not in good condition as evidenced by with finish was coming off of the shelf exposing bare particle board.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Corrected on Site

Compliance Date
2/1/2022
Violation
The requirements for sleeping materials were not met as evidenced by 2 children 12 months or older, who nap or sleep, did not have a sheet.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.

Correction Verification
Corrected on Site

Compliance Date
2/1/2022
Violation
Furniture/equipment, dry erase board, in the Preschool Room was unsafe as evidenced by it was leaning/propped against the wall instead of being anchored/attached to it.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Corrected on Site

Compliance Date
2/1/2022
Violation
Furniture/equipment, the shelf with wheels, in in the School Age Room was not in good condition as evidenced by with finish was coming off of the shelf exposing bare particle board.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Corrected on Site

Compliance Date
2/1/2022
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: Tina Treece - 1 Clock Hour.
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
Tina Treece did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (C) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall complete safe sleep training described in section (4) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department approved safe sleep training must be completed within 30 days of employment or volunteering.

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 Tina Treece 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 Tina Treece.
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