MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CCMH CHILD CARE CENTER

Facility DVN
002712603

Phone
(660) 542-1815

Physical Address
1202 N US HIGHWAY 65
CARROLLTON
MO 64633-1977

Owner
CCMH CHILD CARE CENTER

Mailing Address

Provider/Director
PEEL, KRISTYN R

E-mail Address
KRISTYNP@CCMHOSPITAL.ORG

Incorporated
Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
6 WEEKS - 10 YEARS

Capacity
40

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS

Inspection Information

Date
01/09/2023

Arrival Time
12:21 PM

Departure Time
1:07 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2438637757

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/31/2022
SAMPLE FORMS	05/31/2018
ARTICLES OF INCORPORATION	05/31/2018
CERTIFICATE OF GOOD STANDING	09/09/2021
LOCAL FIRE DEPARTMENT NOTIFICATION	05/31/2018
POLICIES	05/31/2018
SAMPLE WEEKLY MENU	05/31/2018
LOCAL ZONING APPROVAL	05/31/2018
SAFE SLEEP POLICY	05/31/2018
DIAGRAM/OUTDOOR	05/31/2018
DIAGRAM/INDOOR	05/31/2018
DAILY SCHEDULE	05/31/2018
LOCAL BUILDING APPROVAL	05/31/2018
CHILD CARE PRACTICES	05/31/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	05/31/2018
REGISTERING FICTITIOUS NAMES	05/31/2018
LINES OF ADMINISTRATIVE AUTHORITY	05/31/2018
DISCIPLINE POLICIES	05/31/2018
DIRECTOR'S QUALIFICATIONS	05/31/2018
JOB RESPONSIBILITIES	05/31/2018
APPLICATION	03/10/2020
SANITATION INSPECTION	02/24/2022
EQUIPMENT LIST	05/02/2022
STAFF SHEET	06/02/2021
FIRE/SAFETY INSPECTION	08/23/2022
ANNUAL DECLARATION	05/31/2022

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.

Attendance at Time of Inspection

Total Staff 5

Total Children 23

Staff	Child	Class Age	Note
2	6	INFANTS AND TODDLERS	7 months-23 months Stephanie Fizer and Emily Gladbach, staff
3	17	MIXED	2 years-5 years 2- two year old children 1- five year old child. Amy Culver, Kristen Peel and Ruth Cromley, staff


5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Compliance
5 CSR 25-500.052 Annual Requirements Not Observed
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 Not Observed
5 CSR 25-500.132 Admission Policies and Procedures Not Observed
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 Not Observed
5 CSR 25-500.222 Records and Reports Not Observed
5 CSR 25-600.020 General Requirements Compliance
5 CSR 25-600.040 Background Screening Findings Not Observed
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