DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LICK CREEK ADVENTURES DAYCARE AND PRESCHOOL

002595231

(573) 721-5523

105 W MAIN ST
PERRY
MO  63462-1105

STEVENER, KAYLA

24311 SALT LICK PL
PERRY
MO  63462-2069

STEVENER, KAYLA

mossk03@hotmail.com


BETHANY CARREL DUCKWORTH

6 WEEKS - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/19/2023

9:50 AM

11:13 AM

UNANNOUNCED

COMPLIANCE MONITORING

2438849246


DocumentDocument-Date
APPLICATION 10/21/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/04/2019
DAILY SCHEDULE 11/05/2019
DIAGRAM/INDOOR 12/04/2019
DIAGRAM/OUTDOOR 12/05/2019
DISCIPLINE POLICIES 11/05/2019
CHILD CARE PRACTICES 11/05/2019
POLICIES 11/05/2019
REGISTERING FICTITIOUS NAMES 10/28/2019
DIRECTOR'S QUALIFICATIONS 05/18/2016
SAMPLE WEEKLY MENU 11/05/2019
LINES OF ADMINISTRATIVE AUTHORITY 11/05/2019
JOB RESPONSIBILITIES 01/03/2020
SAFE SLEEP POLICY 12/11/2019
STAFF SHEET 01/03/2020
LOCAL ZONING APPROVAL 12/18/2019
SANITATION INSPECTION 09/13/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/26/2022
EQUIPMENT LIST 12/26/2022
FIRE/SAFETY INSPECTION 09/22/2022
ANNUAL DECLARATION 12/14/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 16
StaffChildClass AgeNote
1 5 MIXED Staff: Nicole Jarman. Age range 21 months through 2 years. Four 2 year old children.
2 11 MIXED Staff: Kayla Stevener and Tricia Asquith. Age range 11 months through 5 years. One child under 12 months. Zero 2 year old children. 10 children ages 3-5 years.

 
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
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: Karen McLaughlin needs 12 clock hours of training.
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
Compliance
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
Violation
 Provider Comments
Violation
A copy of qualifying background screening results was/were not kept on file for: Nicole Jarman.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (8) states: A copy of qualifying background screening results shall be kept on file for child care staff members, as required by 5 CSR 25-600.020 General Requirements.
Correction Required
The facility shall keep on file a copy of qualifying background screening results for child care staff member(s).

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Nicole Jarman.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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