MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
FAMILY SELF-HELP CENTER, INC.

Facility DVN
000199119

Phone
(417) 782-1772

Physical Address
1809 S CONNOR AVE
JOPLIN
MO 64804-1837

Owner
FAMILY SELF-HELP CENTER, INC.

Mailing Address

Provider/Director
SIMEK, SUZANNE JESSIE

E-mail Address
suzannesimek@lafayettehouse.org

Incorporated
Incorporated

Child Care Specialist
PENNY KREITZER

Age Range
6 WEEKS - 12 YEARS

Capacity
67

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN IN THE INFANT/TODDLER UNIT; 9 CHILDREN UNDER 12 MONTHS

Inspection Information

Date
01/23/2023

Arrival Time
1:45 PM

Departure Time
2:29 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2439634767

Document	Document-Date
SAMPLE FORMS	10/21/2016
SAFE SLEEP POLICY	01/29/2016
DISCIPLINE POLICIES	02/18/1986
LOCAL FIRE DEPARTMENT NOTIFICATION	06/09/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/23/2021
ANNUAL DECLARATION	05/13/2022
LOCAL ZONING APPROVAL	04/29/2009
LOCAL BUILDING APPROVAL	04/25/2005
JOB RESPONSIBILITIES	06/07/1993
CHILD CARE PRACTICES	05/19/1993
SAMPLE WEEKLY MENU	05/19/1993
DAILY SCHEDULE	04/30/1986
POLICIES	05/19/1993
DIAGRAM/OUTDOOR	07/06/1988
DIAGRAM/INDOOR	04/30/2003
DIRECTOR'S QUALIFICATIONS	05/01/2001
LINES OF ADMINISTRATIVE AUTHORITY	02/18/1986
ARTICLES OF INCORPORATION	10/15/1985
CERTIFICATE OF GOOD STANDING	04/23/2021
EQUIPMENT LIST	05/13/2022
STAFF SHEET	03/14/2019
APPLICATION	03/14/2019
SANITATION INSPECTION	03/24/2022
FIRE/SAFETY INSPECTION	05/10/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/09/2020

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	5/24/2017

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 8

Total Children 28

Staff	Child	Class Age	Note
2	5	INFANTS AND TODDLERS	Julia Gray and Sarah Pooler, Caregivers, with 4 infants ages 4 months through 9 months and 1 one year old child.
2	4	INFANTS AND TODDLERS	Kira Newhouse and Donna Hutchcraft, Caregivers, with 4 one year old children.
3	12	PRESCHOOL	Sherri Brinkoetter and Taylor McDown, Caregivers.
1	7	TWO YEAR OLDS	Eva Blakely, Caregiver.

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

Violation

	Provider Comments
Violation Outdoor play equipment, the swings, was not safe as evidenced by "S" hooks were not pinched together to avoid catching children’s skin or clothing. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (F) states: Equipment with moving parts which might pinch or crush children's hands or fingers shall not be used unless the moving parts which pose a threat to children have guards or covers. 'S' hooks shall be pinched together to avoid catching children's skin or clothing. Correction Required Outdoor equipment shall have no exposed hazards. Correction Verification Submit Documentation Compliance Date

5 CSR 25-500.102 Personnel

Compliance

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

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