DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LITTLE TOTS, LLC

002850786

(660) 258-9868

510 S MONROE ST
BROOKFIELD
MO  64628-2444

LITTLE TOTS, LLC



 

SHOUSE, CASSANDRA RAE

littletots20@gmail.com


ELLEN DONOHO

BIRTH - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

11/16/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2435614790


DocumentDocument-Date
ANNUAL DECLARATION 10/10/2022
SAMPLE WEEKLY MENU 09/21/2021
APPLICATION 09/08/2020
EQUIPMENT LIST 11/04/2022
STAFF SHEET 10/06/2020
LOCAL BUILDING APPROVAL 09/30/2020
DAILY SCHEDULE 09/30/2020
DISCIPLINE POLICIES 09/21/2020
SAMPLE FORMS 09/21/2020
ARTICLES OF INCORPORATION 09/04/2020
CHILD CARE PRACTICES 09/21/2020
DIAGRAM/INDOOR 10/06/2020
DIAGRAM/OUTDOOR 10/06/2020
LLC ARTICLES OF ORGANIZATION 09/04/2020
LOCAL ZONING APPROVAL 09/21/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/10/2022
POLICIES 09/21/2020
LINES OF ADMINISTRATIVE AUTHORITY 10/06/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/06/2020
DIRECTOR'S QUALIFICATIONS 10/06/2020
LLC OPERATING AGREEMENT 10/06/2020
JOB RESPONSIBILITIES 10/06/2020
FIRE/SAFETY INSPECTION 11/07/2022
SAFE SLEEP POLICY 10/21/2020
REGISTERING FICTITIOUS NAMES 09/04/2020
SANITATION INSPECTION 07/25/2022




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
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
11/7/2022
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by a mop bucket with water was observed in the area where children had access to it. There were infants and toddlers in the area..
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date
11/16/2022
Violation
The premises were not safe and suitable as evidenced by child was observed in restroom alone in a cabinet where the sanitation cleaner was within reach. CI had to alert the provider that child was in the cabinet..
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date
11/16/2022
Violation
There was evidence of dirt/debris in the infant area is observed to have debris on the floor. A hair clip was found within reach of the infants as well as bits of paper which could be ingested causing choking..
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Submit Documentation

Compliance Date
11/16/2022
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
Background screening information was not available for review for C.S. K.B. M.K..
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.

Correction Verification
Submit Documentation

Compliance Date
11/16/2022
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 M.K as evidenced by a medical examination was not on file at the facility at the time of initial licensure.
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
11/16/2022
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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for K.B. C.S. M.K..
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
11/16/2022
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