DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KANSAS CITY PUBLIC SCHOOLS

002644982

(816) 418-5266

3221 INDIANA AVE
KANSAS CITY
MO  64128-2062

KANSAS CITY PUBLIC SCHOOLS



 

WILLIAMS, BARBARA RUTH

MPENDZIMAS@KCPUBLICSCHOOLS.ORG


ROBYN EMBREE

6 WEEKS - 3 YEARS

16

GROUP HOME AND CENTER

 
Inspection Information

05/11/2022

8:45 AM

9:32 AM

UNANNOUNCED

COMPLIANCE MONITORING

2423720509


DocumentDocument-Date
CHILD CARE PRACTICES 05/16/2017
DAILY SCHEDULE 05/16/2017
DIAGRAM/INDOOR 05/16/2017
DIAGRAM/OUTDOOR 05/16/2017
DISCIPLINE POLICIES 01/16/2017
JOB RESPONSIBILITIES 05/16/2017
LINES OF ADMINISTRATIVE AUTHORITY 05/16/2017
LOCAL ZONING APPROVAL 05/16/2017
POLICIES 05/16/2017
LOCAL BUILDING APPROVAL 05/16/2017
SAMPLE FORMS 05/16/2017
SAMPLE WEEKLY MENU 05/16/2017
DIRECTOR'S QUALIFICATIONS 05/25/2017
SAFE SLEEP POLICY 02/16/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/16/2017
STAFF SHEET 05/02/2019
APPLICATION 05/02/2019
ANNUAL DECLARATION 03/19/2021
EQUIPMENT LIST 05/11/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/20/2021
SANITATION INSPECTION 04/22/2021
FIRE/SAFETY INSPECTION 06/10/2021




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 2
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 4
StaffChildClass AgeNote
4 4 INFANTS AND TODDLERS Dymon Bryant (Lead Teacher), Nicole Townson (Assistant Teacher), Emily Hough (Lead Teacher) and Joy Armstrong (Assistant Teacher) present with four children; one child age 2 months, one child age 3 months and two children age 1 year. All staff and children outside on the infant/toddler playground.
1 0 NO CHILDREN IN ATTENDANCE Barbara Williams (director) present with no children in attendance.

Compliance List
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 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

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
5/11/2022
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

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
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
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
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
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