DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OZARKS AREA COMMUNITY ACTION CORPORATION

001331580

(417) 865-5674

1051 S GRANT AVE
SPRINGFIELD
MO  65807-1336

OZARKS AREA COMMUNITY ACTION CORPORATION

215 S BARNES AVE
SPRINGFIELD
MO  65802-2204

GARTON, HEATHER ANN

kshinnbrown@oac.ac

Incorporated

ELAINE S COX

BIRTH - 5 YEARS

56

GROUP HOME AND CENTER

5 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

04/06/2022

10:23 AM

2:02 PM

UNANNOUNCED

COMPLIANCE MONITORING

2420881698


DocumentDocument-Date
LOCAL ZONING APPROVAL 08/24/1999
LOCAL BUILDING APPROVAL 08/24/1999
LINES OF ADMINISTRATIVE AUTHORITY 11/20/1997
JOB RESPONSIBILITIES 11/21/1997
DAILY SCHEDULE 08/16/1999
SAMPLE WEEKLY MENU 11/05/1997
CHILD CARE PRACTICES 11/05/1997
DIAGRAM/OUTDOOR 04/27/1999
DIAGRAM/INDOOR 09/01/2021
FIRE/SAFETY INSPECTION 08/30/2021
EQUIPMENT LIST 03/04/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/04/2022
ANNUAL DECLARATION 03/04/2022
CERTIFICATE OF GOOD STANDING 01/04/2022
SANITATION INSPECTION 02/01/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/23/2018
SAFE SLEEP POLICY 02/23/2018
DISCIPLINE POLICIES 11/05/1997
DIRECTOR'S QUALIFICATIONS 08/22/2012




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 16
Total Children 30
StaffChildClass AgeNote
3 5 INFANTS AND TODDLERS Seba Alhindaway, Season Litzenberger and Rosa Leon with 5 children ages 9-months to 2-years-old. Judy Tetlow with the Foster Grandparents program also in this room.
3 8 INFANTS AND TODDLERS Diamond Webster and Larissa Graves with 8 children ages 14-months to 2-years-old on the play yard. Tiffany Weaver caregiver with this group was in the building.
3 0 NO CHILDREN IN ATTENDANCE Marilyn Buxton, clerical, Heather Garton, director, Marissa Purcell, area supervisor.
3 8 PRESCHOOL Eryn Wilson, Jaden Rodriguez and Colton Carpenter with 8 children ages 3-years-old to 5-years-old.
1 1 PRESCHOOL Cierrra Atwell in the hall with one child age 3-years-old.
3 8 PRESCHOOL Ashley Kaizer, Shaley Burus with 8 children ages 3-years-old to 5-years-old on the play yard. Jessica Franklin caregiver with this group was in the building.

 
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 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
3/4/2022
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
3/4/2022
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
3/4/2022
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: used toilet plungers, used toilet brushes and Windex spray. The item(s) was/were located in the infant/toddler bathroom, it is to be noted that while these items were accessible to children, this age group is never in the bathrooms without a caregiver also in the bathroom.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
4/6/2022
5 CSR 25-500.087 Fire Safety
Violation
 Provider Comments
Violation
The door, located in Grant 2 had a child safety door cover, used as an exit from the facility was locked/latched and the lock/latch was not disengaged easily.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor.
Correction Required
Exit doors shall not be locked/impede exit from the building.

Correction Verification
Corrected on Site

Compliance Date
4/6/2022
5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility's disaster plan did not include the location of child's attendance record.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (1) (C) 1. states: The location of the child's attendance record and emergency information and emergency supplies;
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Corrected on Site

Compliance Date
4/6/2022
Violation
The facility's disaster plan did not include location of emergency information.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (1) (C) 1. states: The location of the child's attendance record and emergency information and emergency supplies;
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Corrected on Site

Compliance Date
4/6/2022
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 Ashley Kaiser.
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 9/8/21.
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
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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Colton Carpenter.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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