DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

A STEP ABOVE, L.L.C.

001814924

(816) 532-3104

303 N US HIGHWAY 169
SMITHVILLE
MO  64089-9501

A STEP ABOVE, L.L.C.

704 QUINCY BLVD
SMITHVILLE
MO  64089-8614

UPTEGROVE, HEIDI ROSE

astepabove.smithville@gmail.com


MACIE L HERRIG

6 WEEKS - 12 YEARS

71

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS
 
Inspection Information

07/26/2022

12:30 PM

2:08 PM

UNANNOUNCED

COMPLIANCE MONITORING

2427730668


DocumentDocument-Date
SAMPLE FORMS 01/04/2005
OWNER/PROVIDER REFERENCES 01/14/2003
LLC OPERATING AGREEMENT 01/04/2005
DIRECTOR'S QUALIFICATIONS 09/27/2011
DIAGRAM/INDOOR 01/12/2005
CHILD CARE PRACTICES 01/04/2005
POLICIES 01/12/2005
LOCAL ZONING APPROVAL 01/12/2005
LINES OF ADMINISTRATIVE AUTHORITY 01/12/2005
DISCIPLINE POLICIES 01/12/2005
DIAGRAM/OUTDOOR 01/12/2005
DAILY SCHEDULE 01/04/2005
ARTICLES OF INCORPORATION 01/04/2005
SAMPLE WEEKLY MENU 11/24/2014
SAFE SLEEP POLICY 01/10/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/29/2017
APPLICATION 11/08/2018
STAFF SHEET 11/09/2018
JOB RESPONSIBILITIES 01/04/2005
LOCAL BUILDING APPROVAL 01/12/2005
ANNUAL DECLARATION 11/24/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/24/2020
EQUIPMENT LIST 11/24/2020
SANITATION INSPECTION 11/13/2020
FIRE/SAFETY INSPECTION 03/04/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 9
Total Children 47
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS caregivers Haylie Stapleton and Taylor Baldwin present with six children, all 1-years-old
1 4 INFANTS AND TODDLERS caregiver Ronda Frye present with four children, all under 12-months-old
2 13 MIXED caregivers Laurie Johnson and Andrea Hodges present with thirteen children, eight 2-years-old and five 3-years-old
1 0 NO CHILDREN IN ATTENDANCE additional staff present include director Janet Worley
2 16 PRESCHOOL caregivers Laura Dickson and Rachel Hoskins present with sixteen children, all 3-to-5-years-old
1 8 PRESCHOOL caregiver Ashley Roberts present with eight children, all 3-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
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 2-to-3-year-old room was missing one outlet cover.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
7/26/2022
Violation
The walls located in the 2-to-3-year-old classroom and both infant/toddler classrooms was/were not in good condition as evidenced by chipping and peeling paint.
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
Violation
 Provider Comments
Violation
The facility’s evacuation/emergency plan was not posted.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (2) (E) states: The evacuation/emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for infants and nonambulatory children.
Correction Required
Evacuation/emergency plan must be posted/complete.

Correction Verification
Corrected on Site

Compliance Date
7/26/2022
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Outdoor equipment, picnic bench and stationary play station, in the preschool playground was not in good condition as evidenced by picnic bench: exposed nails, worn wood with splintering, and chipping paint; stationary play station: plastic exposing sharp edges along stairs and bridge, chipping paint on stairs.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Justice Elliott, Krista Thompson, Ariyauna Harris and Taylor Baldwin
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

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
A medical examination report did not include either a completed Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) within 12 months of the individual's begin date at the facility for the following staff: Ariyauna Harris- missing second page of Risk Assessment.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) 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 25-500.162 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
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