DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

GENERATIONS CHILDCARE

002413696

(573) 896-0136

550 KAREN DR
HOLTS SUMMIT
MO  65043-1544

FOWLER, VALERIE JO

PO BOX 621
HOLTS SUMMIT
MO  65043-0621

FOWLER, VALERIE JO

valeriejfowler@hotmail.com


JOY LYNN NICHOLS

BIRTH - 13 YEARS

45

GROUP HOME AND CENTER

5 CHILDREN UNDER 24 MONTHS
 
Inspection Information

09/14/2022

10:00 AM

11:17 AM

UNANNOUNCED

COMPLIANCE MONITORING

2430821684


DocumentDocument-Date
LICENSING ORIENTATION 09/15/2014
REGISTERING FICTITIOUS NAMES 09/15/2014
SANITATION INSPECTION 06/13/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/28/2022
EQUIPMENT LIST 07/28/2022
ANNUAL DECLARATION 07/28/2022
CHILD CARE PRACTICES 09/15/2014
DAILY SCHEDULE 09/15/2014
DIAGRAM/INDOOR 09/15/2014
DIAGRAM/OUTDOOR 09/15/2014
DISCIPLINE POLICIES 09/15/2014
LOCAL ZONING APPROVAL 09/15/2014
SAFE SLEEP POLICY 09/15/2014
SAMPLE FORMS 09/15/2014
POLICIES 09/15/2014
OWNER/PROVIDER REFERENCES 09/15/2014
SAMPLE WEEKLY MENU 09/15/2014
JOB RESPONSIBILITIES 09/15/2014
LOCAL BUILDING APPROVAL 09/15/2014
DIRECTOR'S QUALIFICATIONS 09/15/2014
LINES OF ADMINISTRATIVE AUTHORITY 09/15/2014
LOCAL FIRE DEPARTMENT NOTIFICATION 09/15/2014
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/15/2014
APPLICATION 05/20/2020
STAFF SHEET 05/20/2020
FIRE/SAFETY INSPECTION 06/09/2021

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:15PM   5:15PM   9/22/2014



Inspection determined facility to be in compliance with 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 9
Total Children 39
StaffChildClass AgeNote
1 3 INFANTS AND TODDLERS children ages 7 months to 18 months; Jessey Harris Bond
3 24 MIXED children ages three to five; Cheyenne Waller, Faith Erickson, and Abby Williamson
3 0 NO CHILDREN IN ATTENDANCE Valerie Fowler, Amber McDaniel, and Austin McDaniel also present on site
2 12 TWO YEAR OLDS Jennifer Sachs and Kristine Wegener

 
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 Valerie Fowler, Jennifer Sachs, Cheyenne Waller, Kristine Wegener, and Abby Williamson 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 fire safety inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

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
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
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 Kristine Wegener 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
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Kristine Wegener.
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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Faith Erickson, Rose Gilmore, and Abby Williamson.
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