DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

YOUTH IN NEED

001638339

(314) 353-6906

3013 MERAMEC
ST LOUIS
MO  63118

YOUTH IN NEED



 

NICHOLSON, NATASHA SHANTELL

NJACKSON@YOUTHINNEED.ORG

Incorporated

NANCY SMITH

BIRTH - 5 YEARS

64

GROUP HOME AND CENTER

8 CHILDREN UNDER 12 MONTHS; 32 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/18/2022

9:09 AM

4:27 PM

UNANNOUNCED

COMPLIANCE MONITORING

2432638085


DocumentDocument-Date
FIRE/SAFETY INSPECTION 04/25/2022
SAMPLE WEEKLY MENU 07/03/2003
SAMPLE FORMS 07/03/2003
POLICIES 07/03/2003
LOCAL FIRE DEPARTMENT NOTIFICATION 07/03/2003
LINES OF ADMINISTRATIVE AUTHORITY 07/03/2003
JOB RESPONSIBILITIES 07/03/2003
DISCIPLINE POLICIES 07/03/2003
DIRECTOR'S QUALIFICATIONS 06/14/2005
DIAGRAM/OUTDOOR 07/03/2003
DIAGRAM/INDOOR 07/03/2003
DAILY SCHEDULE 07/03/2003
CHILD CARE PRACTICES 07/03/2003
CERTIFICATE OF GOOD STANDING 08/18/2022
ARTICLES OF INCORPORATION 07/03/2003
APPLICATION 05/16/2019
EQUIPMENT LIST 04/08/2022
STAFF SHEET 04/08/2022
LOCAL ZONING APPROVAL 08/18/2022
LOCAL BUILDING APPROVAL 08/18/2022
SANITATION INSPECTION 05/06/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/04/2017
SAFE SLEEP POLICY 05/21/2019
ANNUAL DECLARATION 06/08/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 4
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 14
Total Children 29
StaffChildClass AgeNote
2 3 INFANTS AND TODDLERS Alexis Citchen, teacher and Courtney Rich, supporting teacher is present with three 1 to 2-year-old's in care
2 6 INFANTS AND TODDLERS Glenda Fields, teacher, and Felicia Wilson, teacher, is present with six 16-month-old's to 24-months-old, children in care.
3 7 INFANTS AND TODDLERS Molly James, teacher, Tegan Hogan, support teacher, and Isabel Diaz, teacher, is present with seven 6-month-old's to 16-months-old, children in care.
2 0 NO CHILDREN IN ATTENDANCE Kylie Heumann, receptionist and Kim Heumann, Director (Assistant Center Manager), are present without children in care
3 5 PRESCHOOL Jovan Hope, teacher, Terri Hishaw, support teacher, and Terena Herrington, teacher, is present with five 2 to 3-year-old's in care.
2 8 PRESCHOOL Michele Loehr, teacher and Noel Collier, assistant teacher is present with eight 3 to 4-year-old's in care.

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 Isabel Alvarez, Noel Collier, Glenda Fields, Carolyn Fleming-Miller, Terena Herrington, Kylie Heumann, Jovan Hope, Michele Loehr, Natasha Nicholson, Zibiyana Rakovic, Jared Watson, Felicia Wilson, and Terri Hishaw 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 25-500.087 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
A medical examination report did not include either a completed Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) within 12 months of the individual's begin date at the facility for the following staff: Alexis Citchen, Kimberly Heumann, Molly James, Terri Hishaw, and Tegan Hogan..
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

Violation
Medical examination report(s) was/were not on file for Terri Rich, Tegan Hogan, Alexis Citchen, Noel Collier, and Molly James 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 25-500.142 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
Violation
 Provider Comments
Violation
A copy of qualifying background screening results was/were not kept on file for: Isabel Alvarez, Noel Collier, Glenda Fields, Carolyn Fleming-Miller, Terena Herrington, Kyle Heumann, Jovan Hope, Michele Loehr, Natasha Nicholson, Zibiyana Rakovic, Jered Watson, Felicia Wilson, and Terri Hishaw, Alexis Citchen, Kimberly Heumann, Molly James, Tegan Hogan, Courtney Rich.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (8) states: A copy of qualifying background screening results shall be kept on file for child care staff members, as required by 5 CSR 25-600.020 General Requirements.
Correction Required
The facility shall keep on file a copy of qualifying background screening results for child care staff member(s).

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