DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

WINONA R-III SCHOOL DISTRICT

002609412

(573) 325-8101

8256 STATE HIGHWAY 19
WINONA
MO  65588-8514

WINONA R-III SCHOOL DISTRICT

PO BOX 248
WINONA
MO  65588-0248

VOYLES, STEPHANIE DAWN

i_b_stephi@hotmail.com


SARAH L THACKER

5 YEARS - 13 YEARS

100

SCHOOL AGE

 
Inspection Information

09/22/2022

4:15 PM

5:32 PM

UNANNOUNCED

COMPLIANCE MONITORING

2431523705


DocumentDocument-Date
APPLICATION 09/17/2018
DAILY SCHEDULE 09/17/2018
DIRECTOR'S JOB RESPONSIBILITIES 09/17/2018
DISCIPLINE POLICIES 08/29/2018
LINES OF ADMINISTRATIVE AUTHORITY 08/29/2018
POLICIES 08/29/2018
SAMPLE FORMS 09/17/2018
SAMPLE WEEKLY MENU 09/17/2018
CHILD CARE PRACTICES 10/16/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/16/2018
JOB RESPONSIBILITIES 09/17/2018
STAFF SHEET 12/11/2018
DIRECTOR'S QUALIFICATIONS 10/12/2018
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/12/2022
EQUIPMENT LIST 09/12/2022
ANNUAL DECLARATION 09/12/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 11
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 7
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE Additional staff on the premises not counted in ratio was Dawn Voyles, Director.
1 7 SCHOOL AGE Tutor, Valerie Voyles with children ages 5 to 9.

Compliance List
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 Stephanie Voyles, Tina Haynes, Jennifer Mayberry, Delhia Voyles, Valerie Voyles, Belinda Hollis, Sara Voyles, Angie McAfee, Steve Voyles, Erica Vermillion, Jennifer Mahan-Asplin and Kathy Shomaker 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

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
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: Delhia Voyles
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

Violation
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Steven Voyles needs 3 clock hours for 2021 and Jordan Denning needs 3 clock hours for 2021. As of 4/22/22, Jordan Denning has taken another position within the District and Steven Voyles still needed 3 hours.
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
9/22/2022
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: Angelia McAfee needs 12 hours and Erica Vermillion needs 12 hours. As of 4/22/22, Erica Vermillion still needs 12 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 requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2020, the staff listed need the following information: Dawn Voyles, Jennifer Mayberry and Judy Shaw need 8.75 hours, Tina Haynes and Amanda Kyle need 10 hours, and Scottie Haynes, Valerie Voyles, Bev Hollis, Lindy Hollis, Morgan Chilton, Sara Voyles, Lisa Boyer and Sean Murphy need 12 hours. As of 4/22/22, the following still need hours for 2020: Dawn Voyles, Tina Haynes, Scottie Haynes, Valerie Voyles, Bev Hollis, Lindy Hollis and Sara Voyles. As of 9/22/22, the following still need hours for 2020: Dawn Voyles, Tina Haynes, Scottie Haynes, Valerie Voyles, Lindy Hollis and Sara Voyles.
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

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report was not on file for Yvonne Boyer, Beverly Hollis, Amanda Kyle, Angelia McAfee, Kathy Shomaker, Erica Vermillion, Sara Voyles, Steven Voyles and Jordan Denning (As of 4/22/22, the following are still needed: Yvonne Boyer, Beverly Hollis, Erica Vermillion, Sara Voyles and Steven Voyles), (As of 9/22/22, the following are still needed: Erica Vermillion, Sara Voyles and Steven Voyles) 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 school-age child's health report was not on file at the time of enrollment as evidenced by 1 child needs a physical.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination report was not on file for Delhia Voyles 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 25-500.172 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
Submit Documentation

Compliance Date

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
8 child(ren) records did not include date care begins and ends.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
4 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
1 child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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