DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

A TOUCH ABOVE CHILDCARE LLC

002633190

(417) 736-4646

9379 E EVERGREEN ST
STRAFFORD
MO  65757-9049

A TOUCH ABOVE CHILDCARE LLC

268 GEORGIA RD
STRAFFORD
MO  65757-8981

SCHATZER, MELISSA

atouchabovechildcare@kidsneed.net


ELAINE S COX

BIRTH - 12 YEARS

72

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT; 4 CHILDREN UNDER 12 MONTHS
 
Inspection Information

09/16/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2431075070


DocumentDocument-Date
ANNUAL DECLARATION 01/26/2022
DIAGRAM/OUTDOOR 12/05/2016
OWNER/PROVIDER REFERENCES 01/04/2017
POLICIES 12/05/2016
DAILY SCHEDULE 12/05/2016
SAMPLE WEEKLY MENU 12/05/2016
LOCAL BUILDING APPROVAL 12/05/2016
JOB RESPONSIBILITIES 12/05/2016
CHILD CARE PRACTICES 12/05/2016
LINES OF ADMINISTRATIVE AUTHORITY 12/05/2016
DIRECTOR'S QUALIFICATIONS 12/05/2016
LLC ARTICLES OF ORGANIZATION 12/05/2016
CERTIFICATE OF GOOD STANDING 12/05/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 03/02/2017
ARTICLES OF INCORPORATION 12/05/2016
LOCAL ZONING APPROVAL 03/02/2017
DISCIPLINE POLICIES 12/05/2016
DIAGRAM/INDOOR 11/15/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/09/2019
SAFE SLEEP POLICY 01/09/2019
LLC OPERATING AGREEMENT 03/02/2022
FIRE/SAFETY INSPECTION 11/16/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/26/2022
SANITATION INSPECTION 11/30/2021
EQUIPMENT LIST 02/08/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:20PM   5:20PM   3/3/2017



Inspection determined facility to be in compliance with licensing rules.
Open Violations: NA
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
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
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: Susan Krieger
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
9/16/2022
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 Susan Krieger 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
9/16/2022
Violation
A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: Austin Pace.
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
9/16/2022
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