DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

PLAY LEARN ACHIEVE ACADEMY, LLC

002430033

(573) 216-3855

765 W US HIGHWAY 54
CAMDENTON
MO  65020-6951

PLAY LEARN ACHIEVE ACADEMY, LLC



 

BLAIR, CARINA LYN

carina@plaacademy.com


LACEY BERENDZEN

24 MONTHS - 6 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

11/28/2022

9:15 AM

11:36 AM

UNANNOUNCED

COMPLIANCE MONITORING

2436208389


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 08/15/2013
DIAGRAM/OUTDOOR 10/30/2013
DISCIPLINE POLICIES 10/04/2013
LOCAL ZONING APPROVAL 08/15/2013
CERTIFICATE OF GOOD STANDING 10/30/2013
LLC ARTICLES OF ORGANIZATION 10/30/2013
DAILY SCHEDULE 10/04/2013
LINES OF ADMINISTRATIVE AUTHORITY 10/04/2013
JOB RESPONSIBILITIES 10/04/2013
SAMPLE WEEKLY MENU 10/04/2013
DIAGRAM/INDOOR 10/04/2013
CHILD CARE PRACTICES 11/07/2013
POLICIES 11/07/2013
SAMPLE FORMS 10/04/2013
LOCAL BUILDING APPROVAL 10/31/2013
REGISTERING FICTITIOUS NAMES 10/30/2013
LOCAL FIRE DEPARTMENT NOTIFICATION 11/08/2013
OWNER/PROVIDER REFERENCES 11/08/2013
LLC OPERATING AGREEMENT 11/07/2013
APPLICATION 08/21/2019
STAFF SHEET 08/21/2019
EQUIPMENT LIST 09/15/2022
SANITATION INSPECTION 04/07/2022
ANNUAL DECLARATION 09/15/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/15/2022
FIRE/SAFETY INSPECTION 08/17/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:10AM   11:45AM   9/25/2017



Inspection determined facility to be in compliance with 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 3
Total Children 10
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE VB delivering breakfast to and joining the preschool classroom while they ate.
1 0 NO CHILDREN IN ATTENDANCE CB arrived around 9:30 am and joined the preschool classroom.
1 10 PRESCHOOL CW with 10 children. One child age 2 years old and nine children age 3 and 4 years old.

 
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 CB, VB, and CW 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
Violation
 Provider Comments
Violation
The facility's list of emergency numbers are not posted in each room used for child care, specifically cubby/entrance, reading room, play area, and table room.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station;
Correction Required
The facility must post all emergency numbers as required.

Correction Verification
Corrected on Site

Compliance Date
11/28/2022
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Outdoor equipment, outdoor easel, in playground was not in good condition as evidenced by the paint on the art easel is chipping.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date

Violation
Outdoor equipment, red chair with purple duct tape, in playground was not in good condition as evidenced by the seat part of the chair is wrapped in duct tape, the tape is fraying and he chair is not cleanable.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Corrected on Site

Compliance Date
11/28/2022
Violation
Outdoor equipment, 3 red large plastic trucks, in playground was not free of sharp parts as evidenced by the plastic on all three trucks is broken and sharp.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Corrected on Site

Compliance Date
11/28/2022
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: VB needs 4 hours and CW needs 2 hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

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 form did not contain all required information as evidenced by the checkmark box for the physician to declare the person is in "good physical and emotion4al health and free of contagious disease" was left blank for CW and VB.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Corrected on Site

Compliance Date
11/28/2022
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
1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
11/28/2022
Violation
1 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
11/28/2022
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