DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

WESTRAN R-I SCHOOL DISTRICT

001496902

(660) 277-3666

210 W DEPOT ST
HUNTSVILLE
MO  65259-1013

WESTRAN R-I SCHOOL DISTRICT



 

LYBARGER, CASSIE RENEE

clybarger@westran.k12.mo.us


SUSAN MARIE DOUGLAS

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

12/08/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2435780542


DocumentDocument-Date
APPLICATION 01/16/2020
STAFF SHEET 01/20/2020
FIRE/SAFETY INSPECTION 06/27/2022
SANITATION INSPECTION 01/28/2022
EQUIPMENT LIST 04/20/2022
ANNUAL DECLARATION 04/20/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/20/2022
DISCIPLINE POLICIES 05/02/2022
CHILD CARE PRACTICES 05/02/2022
POLICIES 05/02/2022
DIAGRAM/INDOOR 11/05/2002
DIAGRAM/OUTDOOR 11/05/2002
DIRECTOR'S QUALIFICATIONS 11/15/2018
LINES OF ADMINISTRATIVE AUTHORITY 08/23/2000
LOCAL ZONING APPROVAL 08/23/2000
DAILY SCHEDULE 05/02/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/02/2022
JOB RESPONSIBILITIES 08/23/2000
LOCAL FIRE DEPARTMENT NOTIFICATION 08/23/2000
SAMPLE WEEKLY MENU 08/23/2000




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
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the wooden shed in the play yard has gap 4 inches between the shed bottom to landscaping timber.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
12/7/2022
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
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 Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: J.G. was missing the second page to risk assessment.
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
11/18/2022
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
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