DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

1ST KIDS

000836519

(417) 468-2247

1001 S WHITE OAK ST
MARSHFIELD
MO  65706-2248

1ST KIDS

PO BOX 746
MARSHFIELD
MO  65706-0746

WARMAN, ETHYL JOANN

1STKIDS@MARSHFIELDFIRST.ORG

Incorporated

ELAINE S COX

6 WEEKS - 12 YEARS

124

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT; 9 CHILDREN UNDER 12 MONTHS
 
Inspection Information

08/08/2022

9:54 AM

12:42 PM

UNANNOUNCED

CLOSE SUPERVISION

2427584117


DocumentDocument-Date
DIAGRAM/OUTDOOR 08/22/2001
DIAGRAM/INDOOR 08/22/2001
CHILD CARE PRACTICES 03/30/2012
POLICIES 03/30/2012
DISCIPLINE POLICIES 03/30/2012
DAILY SCHEDULE 03/09/1999
ARTICLES OF INCORPORATION 03/09/1999
JOB RESPONSIBILITIES 03/09/1999
LINES OF ADMINISTRATIVE AUTHORITY 03/09/1999
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/29/2017
SAFE SLEEP POLICY 12/29/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 12/29/2017
LOCAL BUILDING APPROVAL 01/14/1999
LOCAL ZONING APPROVAL 01/14/1999
SAMPLE WEEKLY MENU 12/29/2017
DIRECTOR'S QUALIFICATIONS 03/22/2022
EQUIPMENT LIST 05/25/2022
ANNUAL DECLARATION 05/24/2022
SANITATION INSPECTION 04/27/2022
FIRE/SAFETY INSPECTION 05/26/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/24/2022
CERTIFICATE OF GOOD STANDING 07/12/2022




Inspection determined facility to be in compliance with 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 14
Total Children 69
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Kennedy Stringer and Jennifer Auberry with 7 children ages 6 months to 9 months.
2 6 INFANTS AND TODDLERS Aleina Martin and Shelly LaChance with 6 children ages 12 months to 23 months.
1 5 MIXED Jennifer Page with 5 children ages 2 -years-old to 3-years-old, this include 4- 2 year old children.
1 0 NO CHILDREN IN ATTENDANCE Joann Warman also in facility, not counting in staff/child ratio.
2 8 PRESCHOOL Alyssa McDaniel and Alyssa Steen with 8 children ages 3-years-old to 4- years-old.
2 9 PRESCHOOL Monae Kochs and Hailea Harris with 9 children ages 4-years-old to 5-years-old.
1 10 PRESCHOOL Kimberly Bertoldie with 10 children ages 4-years old to 5- years-old.
2 17 SCHOOL AGE Kimberly Cottrell and Alivia Donaldson with 17 children ages 6-years-old to 11-years-old.
1 7 TWO YEAR OLDS Nikki Crawford with 7 children ages 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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Jennifer Auberry, Kimberly Bertoldie, Velma Broadbridge, Lisa Cantrell, Kimberly Cottrell, Nikki Crawford, Tabitha Daugard, Alivia Donaldson, Carol Finerty, Katlyn Ford, Hailea Harris, Allie Houston, Leona Jett, Monae Kochs, Shelly LaChance, Aleina Martin, Alyssa McDaniel, Jennifer Page, Donoma Ragsdale, Sarah Smalley, Angela Stolba, Kennedy Stinger, Lillanne Vestal, Joann Warman, Cathy Zimmerman and Stephanie Forbes 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

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
Violation
 Provider Comments
Violation
The facility's list of emergency numbers are not posted in each room used for child care, specifically in the school age room and in rooms B-6 and B-7.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station;
Correction Required
The facility must post all emergency numbers as required.

Correction Verification
Corrected on Site

Compliance Date
8/8/2022
Violation
The facility's evacuation route diagram was not posted in each room.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
8/8/2022
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Stationary equipment, helicopter , was unsafe as evidenced by the equipment had exposed footings.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.
Correction Required
Stationary equipment shall be safely installed, stable and securely anchored.

Correction Verification
Corrected on Site

Compliance Date
8/8/2022
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
Medical examination report(s) was/were not on file for Jennifer Auberry, Katlyn Ford, Hailea Harris and Kennedy Stringer (all but Hailea Harris's observed on 8-8-22) 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 child 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
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 3/21/22.
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. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
7/22/2022
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
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
Violation
 Provider Comments
Violation
1 child(ren) records did not include home address 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
Submit Documentation

Compliance Date
8/8/2022
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