DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

AGES & STAGES LEARNING CENTER, INC.

001266820

(636) 398-3000

3925 HIGHWAY D
DEFIANCE
MO  63341

AGES & STAGES LEARNING CENTER, INC.

3925 HIGHWAY D
DEFIANCE
MO  63341

LUKITSCH, TYNA M

AGESANDSTAGES@HOTMAIL.COM

Incorporated

DENISE ELAYNE KOCH

BIRTH - 16 YEARS

123

GROUP HOME AND CENTER

24 CHILDREN UNDER 12 MONTHS; 24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

03/15/2022

10:29 AM

1:54 PM

UNANNOUNCED

COMPLIANCE MONITORING

2419915806


DocumentDocument-Date
ANNUAL DECLARATION 03/15/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/15/2022
SAMPLE FORMS 02/09/2007
SAMPLE WEEKLY MENU 02/25/1999
CHILD CARE PRACTICES 02/18/1999
LINES OF ADMINISTRATIVE AUTHORITY 02/25/1999
JOB RESPONSIBILITIES 02/25/1999
DISCIPLINE POLICIES 02/18/1999
DAILY SCHEDULE 02/25/1999
DIRECTOR'S QUALIFICATIONS 05/22/2019
DIAGRAM/OUTDOOR 06/04/1999
DIAGRAM/INDOOR 06/04/1999
LOCAL BUILDING APPROVAL 03/10/2021
ARTICLES OF INCORPORATION 02/09/2007
POLICIES 02/09/2007
EQUIPMENT LIST 03/15/2022
STAFF SHEET 09/21/2018
CERTIFICATE OF GOOD STANDING 03/10/2021
SANITATION INSPECTION 11/09/2021
FIRE/SAFETY INSPECTION 12/02/2021
SAFE SLEEP POLICY 01/03/2019
APPLICATION 09/21/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/20/2019
LOCAL ZONING APPROVAL 03/10/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 40
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Suzi Wege, teacher, with 4 children ages 7-months-old through 8-months-old.
1 4 INFANTS AND TODDLERS Taylor Bell, teacher, with 4 children ages 14-months-old through 22-months-old.
1 0 NO CHILDREN IN ATTENDANCE Tyna Lukitsch, Director present.
1 10 PRESCHOOL Pat Woodward, teacher, with 10 children ages 4-years-old and 5-years-old.
2 14 PRESCHOOL Chirs Volle and Sidney Moonier, teachers, with 14 children ages 3-years-old and 4-years-old.
1 8 TWO YEAR OLDS Isabella Wedge, teacher, with 8 children age 2-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
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
There was evidence of dirt/debris in the preschool bathroom located on the exhaust fan.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Corrected on Site

Compliance Date
3/15/2022
Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located against the wall.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by peeling paint and rust was observed on the chained link fence pole near the gate to the parking lot by the dumpster.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

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
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by dust build-up was present on the frog stand up manipulative toy and on the cookie monster/big bird sit in car in the infant/toddler classroom that was not being used.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.

Correction Verification
Corrected on Site

Compliance Date
3/15/2022
Violation
Furniture/equipment, a white plastic shelf, in the front infant/toddler classroom was not in good condition as evidenced by dust build-up was present (the classroom is not currently being used..
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
3/15/2022
5 CSR 25-500.102 Personnel
Compliance
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 11/8/21.
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
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Violation
 Provider Comments
Violation
Handwashing requirements were not met as evidenced by a caregiver did not wash his/her hands with soap and water after changing a child's diaper.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (E) 6. states: Caregivers changing diapers shall wash their hands with soap and running water each time after changing a child's diaper.
Correction Required
Caregivers shall wash their hands after each diaper change.

Correction Verification
Corrected on Site

Compliance Date
3/15/2022
Violation
The diapering table or other approved area was not cleaned thoroughly with a disinfectant after each use.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (E) 2. states: The diapering table shall be cleaned thoroughly with a disinfectant after each use.
Correction Required
The facility shall provide a safe diapering table and cleaned as required.

Correction Verification
Corrected on Site

Compliance Date
3/15/2022
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
Violation
 Provider Comments
Violation
One child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
3/15/2022
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