DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LITTLE ADVENTURES LLC

002805307

(417) 777-0108

911 W BROADWAY ST
BOLIVAR
MO  65613-1806

LITTLE ADVENTURES LLC



 

MEYERS, JESSICA MARIE

littleadventuresbolivar@gmail.com


LAUREN R RAYWARNKE

BIRTH - 12 YEARS

80

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS; 48 FULL DAY PRESCHOOL CHILDREN
 
Inspection Information

04/26/2022

7:34 AM

7:34 AM

UNANNOUNCED

SUPPLEMENTAL

2422405296


DocumentDocument-Date
LLC ARTICLES OF ORGANIZATION 11/12/2019
APPLICATION 11/12/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 12/10/2019
DIAGRAM/OUTDOOR 12/10/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/10/2019
POLICIES 12/10/2019
DISCIPLINE POLICIES 12/10/2019
LLC OPERATING AGREEMENT 12/10/2019
DIAGRAM/INDOOR 12/10/2019
JOB RESPONSIBILITIES 12/10/2019
CHILD CARE PRACTICES 12/10/2019
CERTIFICATE OF GOOD STANDING 11/12/2019
REGISTERING FICTITIOUS NAMES 11/12/2019
SAFE SLEEP POLICY 12/10/2019
SAMPLE FORMS 12/10/2019
DAILY SCHEDULE 12/10/2019
SAMPLE WEEKLY MENU 12/10/2019
DIRECTOR'S QUALIFICATIONS 12/10/2019
LINES OF ADMINISTRATIVE AUTHORITY 12/10/2019
LOCAL BUILDING APPROVAL 12/20/2019
LOCAL ZONING APPROVAL 12/20/2019
STAFF SHEET 12/23/2019
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/26/2022
FIRE/SAFETY INSPECTION 12/10/2021
EQUIPMENT LIST 01/26/2022
ANNUAL DECLARATION 01/26/2022
SANITATION INSPECTION 01/14/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

Compliance List
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Pam Horn, Amanda Neill, Kaitlyn Partin, Alexis Rummel, Naomi Noot and Les Horn within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date
4/26/2022
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
5 CSR 25-500.087 Fire Safety
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
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: Leslie Horn needs 12 clock hours, Pam Horn needs 12 clock hours, Jessica Meyers needs 5.5 clock hours, Alexis Rummel needs 2.25 clock hours.
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
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/26/2022
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by authorization for emergency care was not completed.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/22/2022
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.152 Hourly Care Facilities
Not Observed
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
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Violation
 Provider Comments
Violation
Three child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the 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
Submit Documentation

Compliance Date
4/22/2022
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed