DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KARE A LOT CHILD DEVELOPMENT CENTER LLC

002572523

(314) 327-4839

1429 FARRAR ST
ST LOUIS
MO  63107-2925

KARE A LOT CHILD DEVELOPMENT CENTER LLC



 


karealot4kidz@yahoo.com


JOYCE E GREEN

6 WEEKS - 23 MONTHS

16

GROUP HOME AND CENTER

16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/23/2022

8:20 AM

10:08 AM

UNANNOUNCED

COMPLIANCE MONITORING

2429721023


DocumentDocument-Date
CHILD CARE PRACTICES 07/21/2016
POLICIES 07/21/2016
LINES OF ADMINISTRATIVE AUTHORITY 07/21/2016
JOB RESPONSIBILITIES 07/21/2016
LLC ARTICLES OF ORGANIZATION 06/20/2016
REGISTERING FICTITIOUS NAMES 06/20/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 08/15/2016
SAMPLE WEEKLY MENU 08/16/2016
DIAGRAM/INDOOR 08/16/2016
DIAGRAM/OUTDOOR 08/16/2016
DISCIPLINE POLICIES 07/21/2016
SAMPLE FORMS 11/29/2016
LLC OPERATING AGREEMENT 12/23/2016
DIRECTOR'S QUALIFICATIONS 01/05/2017
EQUIPMENT LIST 08/01/2018
DAILY SCHEDULE 08/01/2018
STAFF SHEET 08/02/2018
SAFE SLEEP POLICY 08/01/2018
ARTICLES OF INCORPORATION 08/15/2016
CERTIFICATE OF GOOD STANDING 11/20/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 11/16/2018
APPLICATION 11/26/2018
LOCAL ZONING APPROVAL 11/26/2018
LOCAL BUILDING APPROVAL 11/26/2018
FIRE/SAFETY INSPECTION 12/14/2021
SANITATION INSPECTION 11/23/2021




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 5
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 2
Total Children 3
StaffChildClass AgeNote
1 3 INFANTS AND TODDLERS Deidra Williams, teacher, was present with three children, aged 18-months old to 22-months old.
1 0 NO CHILDREN IN ATTENDANCE Tiniki Long-Steele, owner, was present with no children.

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Violation
 Provider Comments
Violation
The name, address and telephone number of the member(s) was not prominently posted near the license.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (13) (D) states: All manager(s) and/or member(s).
Correction Required
The name, address, and phone number of the LLC member(s) or LLC manager(s) shall be posted near the license.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
Evidence of local building approval was not received.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable.
Correction Required
The facility shall submit evidence of local building/zoning approval as required.

Correction Verification
Submit Documentation

Compliance Date
8/23/2022
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
2/7/2022
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
8/23/2022
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
2/7/2022
Violation
The Family Care Safety Registry check was not conducted for Deidra Williams, Andrea Lowens, Jamell Hobson and Tiniki Long-Steele 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
2/7/2022
Violation
The facility is owned by a legal entity and evidence of good standing was not available.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (D) states: Documentation as required by the Missouri Secretary of State and state law to verify the legal entity is in good standing, if a group child care home or child care center is owned by a legal entity.
Correction Required
The facility shall submit evidence that the legal entity is in good standing with the Missouri Secretary of State and state law.

Correction Verification
Submit Documentation

Compliance Date
8/23/2022
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 an uncovered outlet was observed in the crib room.
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
8/23/2022
Violation
The walls located the restroom was/were not in good condition as evidenced by the baseboard along the wall was detached.
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
There was no storage for play materials accessible to children.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. E. states: Storage space for play materials shall be provided. Some of the space shall be on low shelves and accessible to the children.
Correction Required
The facility shall provide storage for play equipment, some accessible to children.

Correction Verification
Submit Documentation

Compliance Date
8/23/2022
Violation
The facility's outdoor space was not safe for children's activities as evidenced by empty boxes, piles of leaves, sticks and branches, random stack of mat pieces, large wooden board leaning on the building were observed in the outdoor space.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
8/23/2022
Violation
The bathroom was not clean and odor free as evidenced by the hand sink was soiled.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
The bathroom was not clean and odor free as evidenced by the toilet was soiled.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
The facility's outdoor space was not safe for children's activities as evidenced by weeds measuring at least six inches were observed in cracks on the play area and along the perimeter of the play area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
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
Violation
 Provider Comments
Violation
Outdoor equipment, little tykes climber and red bike, in the outdoor space was not in good condition as evidenced by the climber is not assembled for intended use and the red bike has rust spots.
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
8/23/2022
Violation
Outdoor equipment, garage/shed, in the outdoor play space was not in good condition as evidenced by as the lock on the garage/shed was broken.
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 caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Andrea Lowens need 1 clock hour for 2021 and Jamell Hobson need 2 clock hours for 2021.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date
8/23/2022
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: Deidra Williams need 4.5 clock hours; Tiniki Long-Steele needs 9 clock Hours.
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

Violation
The facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Submit Documentation

Compliance Date

Violation
Andrea Lowens did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (C) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall complete safe sleep training described in section (4) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department approved safe sleep training must be completed within 30 days of employment or volunteering.

Correction Verification
Submit Documentation

Compliance Date
8/23/2022
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
The medical examination report on file was older than 12 months before the individual's begin date at the facility.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (C) states: Medical examination reports shall be completed not more than twelve (12) months prior to beginning work in the facility and may be transferable to another child care facility for subsequent employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/23/2022
Violation
The medical examination report and/or the school-age health report form(s) used was not supplied by the department or did not contain all the required information as evidenced by the form did not state that the child could participate in a day care or child care program.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (E) states: The medical examination report form and the health history report for school-age children shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The School-Age Child Health Report 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 athttps://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

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
Daily attendance records were not maintained on file as evidenced by there were no staff/volunteer attendance records.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (6) states: Daily staff and volunteer attendance records shall be maintained and kept on file a minimum of one (1) year.
Correction Required
Staff/volunteer attendance records shall be maintained and retained as required.

Correction Verification
Submit Documentation

Compliance Date
8/23/2022
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