DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

PAPER MOON EARLY LEARNING CENTER LLC

002838326

(573) 447-0131

4470 N HIGHWAY 763
COLUMBIA
MO  65202-1043

PAPER MOON EARLY LEARNING CENTER LLC



 

NICHOLS, JACQUELINE BEATRICE

director@papermoonelc.com


LU A GAINES

BIRTH - 12 YEARS

99

GROUP HOME AND CENTER

24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/19/2023

3:27 PM

5:48 PM

UNANNOUNCED

COMPLIANCE MONITORING

2439322430


DocumentDocument-Date
APPLICATION 06/23/2020
DIAGRAM/INDOOR 07/21/2020
DIAGRAM/OUTDOOR 07/21/2020
STAFF SHEET 07/21/2020
DIRECTOR'S QUALIFICATIONS 07/29/2020
LINES OF ADMINISTRATIVE AUTHORITY 07/21/2020
DISCIPLINE POLICIES 07/21/2020
SAMPLE WEEKLY MENU 07/21/2020
DAILY SCHEDULE 07/21/2020
JOB RESPONSIBILITIES 07/21/2020
CHILD CARE PRACTICES 07/21/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/21/2020
POLICIES 07/21/2020
SAMPLE FORMS 07/21/2020
LLC ARTICLES OF ORGANIZATION 07/21/2020
LLC OPERATING AGREEMENT 07/21/2020
LOCAL ZONING APPROVAL 08/07/2020
LOCAL BUILDING APPROVAL 08/07/2020
EQUIPMENT LIST 08/12/2022
ANNUAL DECLARATION 08/12/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/12/2022
SANITATION INSPECTION 04/12/2022
FIRE/SAFETY INSPECTION 10/26/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   8/5/2020



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 5
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 16
Total Children 66
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS Staff Kaylee Drysdale and Austin Ketterman present with children ages 18 - 23 months in the Sunnies room.
2 7 INFANTS AND TODDLERS Staff - Ashley Mahieu and Taneasha Johnson present with children ages 12 months - 17 months in the Sparkles room.
2 6 INFANTS AND TODDLERS Staff Ashley Montes and Kristen Thompson present with children ages 5 months - 10 months in the Twinkles room.
2 15 MIXED Staff Megan Wolfe and Katelyn Gibson present with children ages 4 -5 years old in the Neptunes room.
2 13 MIXED Staff Olivia Meurer and Katrin Cathcart present with children ages 2 - 3 years old in the Saturns' room.
2 0 NO CHILDREN IN ATTENDANCE Assistant Director Megan Barte and Kacy Bergfield present.
1 6 PRESCHOOL Staff Jessie Stone present in the Comets' room.
1 5 PRESCHOOL Staff Emily Lawton present with all 3 year old children in the Mercuries' room.
2 9 TWO YEAR OLDS Staff Amanda Brill and Payton Robinson present in Stars' room.

 
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
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
Violation
 Provider Comments
Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in a shared bathroom between the Sparkles' Infant/Toddler room and the Twinkles' Infant/Toddler room.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the bathroom located in the Stars' 2 year old room.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Diapering requirements were not met as evidenced by the diapering table was not safe in that the changing area was on a counter that didn't have a barrier to prevent children from falling. This was in the Sunnies' Infant/Toddler room.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Diapering requirements were not met as evidenced by the diapering table was not safe in that the changing area in the Stars' room was a counter top that didn't have a barrier to prevent children from falling.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the Sunnies' Infant /Toddler room. The diapering area is on a counter facing the wall.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.087 Fire Safety
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Outdoor equipment, the blue cube climber, in the Infant/Toddler playground was not in good condition as evidenced by it had a large crack on the climbing surface..
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
1/19/2023
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
Not Observed
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
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
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
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance