DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CHILDREN'S HOUSE

000173084

(573) 378-5480

418 JEFFERSON ST
VERSAILLES
MO  65084-1126

MORGAN COUNTY DAY CARE ASSOCIATION



 

BORUM, TERRI L

CHHOUSECHHOUSE@YAHOO.COM

Incorporated

LACEY BERENDZEN

BIRTH - 11 YEARS

88

GROUP HOME AND CENTER

12 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

09/26/2022

8:39 AM

8:39 AM

UNANNOUNCED

SUPPLEMENTAL

2431688316


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 09/24/2001
LINES OF ADMINISTRATIVE AUTHORITY 07/22/1983
ARTICLES OF INCORPORATION 06/28/1972
SAMPLE FORMS 04/18/1995
CHILD CARE PRACTICES 04/18/1985
SAMPLE WEEKLY MENU 12/11/1980
DAILY SCHEDULE 08/04/2004
POLICIES 04/18/1995
DIAGRAM/OUTDOOR 05/29/1999
DIAGRAM/INDOOR 10/06/2004
LLC ARTICLES OF ORGANIZATION 03/01/1977
LOCAL BUILDING APPROVAL 01/24/1980
LOCAL ZONING APPROVAL 01/24/1980
JOB RESPONSIBILITIES 04/18/1985
DISCIPLINE POLICIES 04/18/1985
CERTIFICATE OF GOOD STANDING 02/21/2017
APPLICATION 04/24/2019
STAFF SHEET 04/24/2019
FIRE/SAFETY INSPECTION 05/13/2022
EQUIPMENT LIST 05/10/2022
ANNUAL DECLARATION 05/10/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/10/2022
SANITATION INSPECTION 03/01/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Terri Borum, Talley Easton, Mikela Holman, Shannon Holman, Connie Kauffman, and Shelia Marriott 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
Violation
 Provider Comments
Violation
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by no resilient material was present.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 5. states: The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which will effectively cushion the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification
Submit Documentation

Compliance Date
8/25/2022
5 CSR 25-500.087 Fire Safety
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
5 CSR 25-500.102 Personnel
Not Observed
5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.162 Overlap Care of Children
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Violation
 Provider Comments
Violation
2 child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (F) states: Field trip and transportation authorization.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/25/2022
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed