DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LUKE'S TREEHOUSE CHILD CARE & PRESCHOOL

002222517

(573) 999-0637

4146 REYNOSA DR
COLUMBIA
MO  65201

RAVEN, CYNTHIA LYNNE



 

RAVEN, CYNTHIA LYNNE

lukestreehouse@yahoo.com


LU A GAINES

BIRTH - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

12/02/2022

12:52 PM

2:16 PM

UNANNOUNCED

COMPLIANCE MONITORING

2436373387


DocumentDocument-Date
SAMPLE WEEKLY MENU 06/11/2014
SAMPLE FORMS 06/11/2014
REGISTERING FICTITIOUS NAMES 06/11/2014
LOCAL BUILDING APPROVAL 06/11/2014
LOCAL ZONING APPROVAL 06/11/2014
LINES OF ADMINISTRATIVE AUTHORITY 06/11/2014
DAILY SCHEDULE 06/11/2014
CHILD CARE PRACTICES 06/11/2014
DISCIPLINE POLICIES 06/11/2014
DIAGRAM/OUTDOOR 06/11/2014
DIAGRAM/INDOOR 06/11/2014
DIRECTOR'S QUALIFICATIONS 07/02/2014
POLICIES 06/11/2014
STAFF SHEET 10/18/2018
APPLICATION 10/18/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/11/2014
LICENSING ORIENTATION 06/11/2014
LOCAL FIRE DEPARTMENT NOTIFICATION 06/11/2014
SAFE SLEEP POLICY 06/11/2014
OWNER/PROVIDER REFERENCES 06/11/2014
EQUIPMENT LIST 10/31/2022
ANNUAL DECLARATION 10/31/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/31/2022
FIRE/SAFETY INSPECTION 10/27/2022
SANITATION INSPECTION 09/23/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 11
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Staff DR present with children ages 10 months - 23 months.
2 7 MIXED Staff MV and CR present with children ages 2 years - 5 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
Compliance
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 Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: CR, DR, and MV.
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 CR, DR, and MV 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
Not Observed
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
Not Observed
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