DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CHAMP CLARK ASSOCIATION FOR CHALLENGED CHILDREN

000279014

(573) 324-5153

801 S BUSINESS 61
BOWLING GREEN
MO  63334-5237

CHAMP CLARK ASSOCIATION FOR CHALLENGED CHILDREN



 

MILLAN GLENN, REBECCA

TLCENTER@SBCGLOBAL.NET

Incorporated

SUSAN MARIE DOUGLAS

BIRTH - 12 YEARS

95

GROUP HOME AND CENTER

12 CHILDREN UNDER 24 MONTHS
 
Inspection Information

10/03/2022

11:00 AM

2:09 PM

UNANNOUNCED

COMPLIANCE MONITORING

2432117736


DocumentDocument-Date
DIAGRAM/INDOOR 01/25/2013
CERTIFICATE OF GOOD STANDING 06/09/2022
APPLICATION 07/23/2019
STAFF SHEET 07/23/2019
EQUIPMENT LIST 07/27/2022
FIRE/SAFETY INSPECTION 07/08/2021
SANITATION INSPECTION 09/22/2022
SAMPLE WEEKLY MENU 02/07/2008
JOB RESPONSIBILITIES 02/07/2008
POLICIES 07/13/2011
DISCIPLINE POLICIES 07/13/2011
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/12/2012
DIRECTOR'S QUALIFICATIONS 08/27/2001
CHILD CARE PRACTICES 07/13/2011
LOCAL BUILDING APPROVAL 02/07/2008
DIAGRAM/OUTDOOR 04/16/1993
ARTICLES OF INCORPORATION 12/28/2021
SAMPLE FORMS 08/18/2005
DAILY SCHEDULE 08/18/2005
ANNUAL DECLARATION 07/27/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/27/2022
LINES OF ADMINISTRATIVE AUTHORITY 04/20/2022
SAFE SLEEP POLICY 04/20/2022




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 18
Total Children 38
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS Diane Beatman, staff and Sarah Nordyke, staff were present with 8 children ages 19 months to 23 months
1 4 INFANTS AND TODDLERS Hermila Cassaday , staff was present with 4 children ages 10 months to 19 months
3 9 MIXED Shelden Morris, staff, Breanna Schlueter, staff and Heather Fuerst, staff were present with 9 children ages 2 to 3
5 8 MIXED Annabella Krumwiede, staff, Kevin Shramek staff, Ashley Feldmann, staff, McKenzi Ingram,staff, Shannon Niemeyer, staff were present with 8 children ages 4 to 5
1 0 NO CHILDREN IN ATTENDANCE Rebecca Millan Glenn , director
6 9 PRESCHOOL Cassandra Jennings, staff, Angel Minter,staff, Tabitha Betz, staff, Gena Pritchett, staff, Shaylee Chandler, staff and Emma Wood staff were present with 9 children ages 3 to 4

 
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 annual fire safety inspection was not approved.
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
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: baking soda dry soap. The item(s) was/were located on floor in closet in 3 to 4 year old classroom.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
10/3/2022
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
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: Shaylee Chandler, Penny Jennings-Copelin, Morgan McMenamy,
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

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 Hermila Cassaday 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
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not from a qualified professional source.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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