DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT
Facility Information






 




 








 
Inspection Information








DocumentDocument-Date
LOCAL BUILDING APPROVAL 06/14/2022
DIAGRAM/OUTDOOR 05/29/2007
DIAGRAM/INDOOR 05/29/2007
LOCAL ZONING APPROVAL 05/16/2007
SAMPLE FORMS 05/29/2007
JOB RESPONSIBILITIES 06/21/2007
DIRECTOR'S QUALIFICATIONS 12/02/2010
DAILY SCHEDULE 05/29/2007
SAMPLE WEEKLY MENU 05/16/2007
REGISTERING FICTITIOUS NAMES 06/08/2007
LINES OF ADMINISTRATIVE AUTHORITY 04/02/2007
LLC ARTICLES OF ORGANIZATION 01/02/2007
CHILD CARE PRACTICES 05/25/2017
DISCIPLINE POLICIES 05/25/2017
POLICIES 05/25/2017
APPLICATION 05/22/2019
STAFF SHEET 05/30/2019
SAFE SLEEP POLICY 05/30/2019
CERTIFICATE OF GOOD STANDING 05/30/2019
LLC OPERATING AGREEMENT 05/22/2019
SANITATION INSPECTION 05/03/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/14/2022
FIRE/SAFETY INSPECTION 04/11/2022
EQUIPMENT LIST 06/14/2022
ANNUAL DECLARATION 06/14/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:45PM   4:45PM   12/22/2010
  7:15AM   8:15AM   12/22/2010



Open Violations:
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

 
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
The walls located in the infant room was/were not in good condition as evidenced by there is a piece in the corner area of the lower wall (same side wall where diaper changing cable is on)that is detached and wires are exposed.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility's special instructions for infants and non-ambulatory children were not posted in each room.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
7/26/2022
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
A caregiver did not submit the Clock Hour Training Reassignment form to apply current year's clock hours for the prior year. The following staff need clock hours reassigned to the previous year: 2021: Kebra Peebles-1, Nedra Dyson-1.5, and Dominique Carothers -3.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (K) states: Clock hours earned to complete the previous year’s requirements shall not be applied to the current year’s clock hour requirements. Caregivers shall submit the Clock Hour Training Reassignment form to the OPEN Initiative to assign clock hours to the appropriate year. See Clock Hour Training Reassignment form, revised 2021, and 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
Caregivers shall submit the Clock Hour Training Credit Reassignment form to reassign current year's clock hours to the prior year.

Correction Verification
Corrected on Site

Compliance Date
7/26/2022
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 25-500.162 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
Violation
 Provider Comments
Violation
Infant formulas and special baby foods provided by parents were not labeled.
Licensing Rule Reference
5 CSR 25-500.202 Nutrition and Food Service (2) (C) states: If preferred, formulas and special baby foods may be provided by the parent(s) with individual identification on each container.
Correction Required
Formula and food, provided by parents, shall be appropriately identified.

Correction Verification
Corrected on Site

Compliance Date
7/26/2022
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