DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

TENDERCARE LEARNING CENTER #4

001631569

(636) 946-8440

1804 BOONE'S LICK RD
ST CHARLES
MO  63301

LLTC, INC.



 

PAUL, SARAH LYNN

TCLCBN4@YAHOO.COM

Incorporated

AMY MUSSELMAN

1 MONTH - 14 YEARS

68

GROUP HOME AND CENTER

10 CHILDREN UNDER 12 MONTHS; 12 CHILDREN UNDER 24 MONTHS
 
Inspection Information

12/19/2022

8:30 AM

10:35 AM

UNANNOUNCED

COMPLIANCE MONITORING

2437625878


DocumentDocument-Date
LOCAL ZONING APPROVAL 11/17/2022
POLICIES 10/26/2001
DIAGRAM/INDOOR 11/13/2001
DIAGRAM/OUTDOOR 11/13/2001
DISCIPLINE POLICIES 10/26/2001
LOCAL BUILDING APPROVAL 11/17/2022
JOB RESPONSIBILITIES 11/26/2001
SAMPLE FORMS 10/26/2001
LINES OF ADMINISTRATIVE AUTHORITY 08/28/2001
SAMPLE WEEKLY MENU 10/26/2001
CHILD CARE PRACTICES 10/26/2001
DAILY SCHEDULE 12/11/2001
LOCAL FIRE DEPARTMENT NOTIFICATION 10/14/2015
APPLICATION 07/22/2019
STAFF SHEET 10/10/2019
SAFE SLEEP POLICY 12/17/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/11/2021
DIRECTOR'S QUALIFICATIONS 06/08/2021
ANNUAL DECLARATION 11/17/2022
EQUIPMENT LIST 11/17/2022
FIRE/SAFETY INSPECTION 11/17/2022
CERTIFICATE OF GOOD STANDING 11/17/2022
REGISTERING FICTITIOUS NAMES 12/02/2021
SANITATION INSPECTION 11/17/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/17/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   9/21/2021



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 14
StaffChildClass AgeNote
1 5 INFANTS AND TODDLERS K.H., teacher and I.R., teacher, was in attendance with five children, ages 8-months-old to 15-months-old.
1 0 NO CHILDREN IN ATTENDANCE S.P.,Director, was in attendance with no children present.
1 9 PRESCHOOL T.S., Assistant Director, was in attendance with nine children, ages 2-years-old to 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
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The requirements for toilet and handwashing facilities were not met as evidenced by the toilet would not flush.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 3. states: Toilet and hand washing facilities shall be in working order and convenient for the children's use.
Correction Required
Bathroom fixtures shall be functional and convenient.

Correction Verification
Corrected on Site

Compliance Date
12/19/2022
Violation
The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 3. states: Toilet and hand washing facilities shall be in working order and convenient for the children's use.
Correction Required
Bathroom fixtures shall be functional and convenient.

Correction Verification
Corrected on Site

Compliance Date
12/19/2022
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
Documentation of caregiver completion of the facility orientation was not on file for the following staff: K.H..
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department.
Correction Required
Documentation of caregiver completion of the facility orientation shall be maintained and on file for review by the department as required.

Correction Verification
Corrected on Site

Compliance Date
12/19/2022
5 CSR 25-500.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by 5 children, ages 8-months-old to 15-months-old, were cared for by 1 caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;
Correction Required
Correct staff/child ratios and group size shall be maintained.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 2/17/22.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)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
Child medical requirements shall be completed and 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
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