DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CHRISTIAN COMMUNITY CARE CENTER, INC.

000186525

(573) 785-7570

1601 N MAIN ST
POPLAR BLUFF
MO  63901-3439

CHRISTIAN COMMUNITY CARE CENTER, INC.



 

BARKER, DANA LEA

TINYTOWNCHILDCARE@HOTMAIL.COM

Incorporated

SARAH L THACKER

BIRTH - 14 YEARS

99

GROUP HOME AND CENTER

12 CHILDREN UNDER 12 MONTHS; 12 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/09/2022

2:30 PM

4:25 PM

UNANNOUNCED

COMPLIANCE MONITORING

2428706782


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 07/29/2015
DIAGRAM/INDOOR 05/01/2009
DIAGRAM/OUTDOOR 05/01/2009
SAMPLE WEEKLY MENU 04/24/2015
CHILD CARE PRACTICES 12/01/1982
ARTICLES OF INCORPORATION 12/01/1982
LINES OF ADMINISTRATIVE AUTHORITY 12/01/1982
POLICIES 12/01/1982
DAILY SCHEDULE 12/01/1982
DISCIPLINE POLICIES 12/01/1982
JOB RESPONSIBILITIES 12/01/1982
LOCAL ZONING APPROVAL 12/01/1982
LOCAL FIRE DEPARTMENT NOTIFICATION 01/15/2016
CERTIFICATE OF GOOD STANDING 05/02/2018
STAFF SHEET 05/22/2018
SAFE SLEEP POLICY 05/02/2016
APPLICATION 06/23/2020
EQUIPMENT LIST 07/01/2021
FIRE/SAFETY INSPECTION 05/05/2022
SANITATION INSPECTION 06/09/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/06/2021
ANNUAL DECLARATION 07/07/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 9
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 10
Total Children 46
StaffChildClass AgeNote
3 7 INFANTS AND TODDLERS Caregivers Brooke Lewis, Kimberly Winnett, Hailey Payne with children ages 9 months to 20 months.
2 14 MIXED Caregivers Madison Greenwall and Jessica Alford with 5 children 2 years of age and 9 children 3 years of age.
1 0 NO CHILDREN IN ATTENDANCE Additional staff on the premises that do not count in ratio are Dana Barker, Director.
3 15 PRESCHOOL Caregivers Maria Hickman, Amanda Merrill, and Brittany Coble with children ages 3 to 4.
1 10 SCHOOL AGE Caregiver Tina Parker with children ages 5 to 10.

 
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 Jessica Alford, Dana Barker, Brooke Lewis-Meyers, Kimberly Winnett, Madison Greenwall, Ruth Harwell, Brittany Coble, Tina Parker,Maria Hickman, Amanda Merrill, and Janice Duffy 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

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, 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, 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 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

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 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Children were not restricted to approved space as evidenced by the kitchen doors in the Fellowship Hall were left unlocked and open.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Submit Documentation

Compliance Date
8/9/2022
Violation
The walls located in the back of kitchen was/were not in good condition as evidenced by there was an area where the paint was chipped, exposing the chalky substance of the sheetrock.
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
8/9/2022
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the fence on the infant/toddler playground was not secured. The posts and gate near the front corner were lose and leaning in towards the playground.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date
8/9/2022
Violation
The walls located in the 2 year old room was/were not in good condition as evidenced by the chalky substance of the sheetrock was 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

Violation
The floors located in the 2 year old room was/were not in good condition as evidenced by the carpet tiles were coming up.
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
Corrected on Site

Compliance Date
8/9/2022
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
Violation
 Provider Comments
Violation
Documentation of caregiver completion of the facility orientation was not on file for the following staff: Brooke Lewis-Meyer, Kimberly Willett, Madison Greenwall, Brittany Coble, Tina Parker and Hailey Payne.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department.
Correction Required
Documentation of caregiver completion of the facility orientation shall be maintained and on file for review by the department as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not conduct a Family Care Safety Registry screening for Madison Greenwall and Hailey Payne, who was hired on 4/3/2022 and 7/26/2022.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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: Caitlyn Halcumb needs 5.5 hours, Ruth Harwell needs 3.5 hours, and Alixia Reynolds needs 4 hours. As of 6/2/2022 Ruth Harwell needs .5 hours of training.
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
7/8/2022
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 Madison Greenwall and Hailey Payne 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

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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Corrected on Site

Compliance Date
8/9/2022
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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Madison Greenwall and Hailey Payne.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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