DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

OPEN ARMS EARLY CHILDHOOD DEVELOPMENT CENTER

002690093

(417) 582-0067

1200 E MCCRACKEN RD
OZARK
MO  65721-9310

OPEN ARMS LUTHERAN FELLOWSHIP OF OZARK, MISSOURI



 

OVERSTREET, KIMBERLY DAWN

koverstreet@mchsi.com


ELAINE S COX

BIRTH - 12 YEARS

70

LICENSE EXEMPT PROGRAM

16 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS
 
Inspection Information

02/22/2023

8:05 AM

10:37 AM

ANNOUNCED

ANNUAL

2441715829


DocumentDocument-Date
FIRE/SAFETY INSPECTION 12/22/2022
NOTICE OF PARENTAL RESPONSIBILITY 09/02/2022
SANITATION INSPECTION 02/21/2023




Inspection determined facility to be in compliance with rules.
Open Violations: 7
Attendance at Time of Inspection
Total Staff 8
Total Children 26
StaffChildClass AgeNote
1 2 INFANTS AND TODDLERS Staff Lucy Norris with 2 children ages 6 months to 8 months.
2 4 INFANTS AND TODDLERS Staff Ryley Renfrow and Abigail Padron with 4 children ages 15 months to 23 months of age.
2 9 MIXED Staff Amanda Carroll and Louisa Moravec with 9 children ages 2-years-old to 3- years-old. This included 6- 2 year old children.
1 0 NO CHILDREN IN ATTENDANCE Kimberly Overstreet not counting in staff/child ratio.
1 6 PRESCHOOL Staff Stacy Logan with 6 4 year olds.
1 5 PRESCHOOL Staff Sherri Sundell with 5 children ages 4-5 years of age.

 
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
5 CSR 25-300.040 Staffing Requirements
Compliance
5 CSR 25-300.050 Health Requirements
Compliance
5 CSR 25-300.060 Responsibilities of Caregivers
Compliance
5 CSR 25-300.070 Fire Safety Requirements
Compliance
5 CSR 25-300.080 Sanitation Requirements
Violation
 Provider Comments
Violation
The bathroom was not clean and odor free as evidenced by the toilet was soiled in that dirt build up at base of toilet in the 2 year old room.
Licensing Rule Reference
5 CSR 25-300.080 Sanitation Requirements (2) (A) states: Toilets, urinals and hand washing sinks shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
 Provider Comments
Violation
The walls located The boys bathroom was/were not easily cleanable as evidenced by two stall walls had rust build up.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of multiple wooden box planters observed to be in poor condition with sharp edges accessible to children.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The equipment, a Little Tykes outdoor slide/climber on older play ground, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by equipment was over thin grass.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (D) states: The fall-zone area under and around outdoor equipment over twenty-four inches (24") high covered with impact-absorbing materials that will effectively cushion the fall of a child. Materials may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

Correction Verification
Submit Documentation

Compliance Date

Violation
The equipment, a Little Tykes slide/climber on younger play ground, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by bare ground and insufficient wood chips were present in fall zone..
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (D) states: The fall-zone area under and around outdoor equipment over twenty-four inches (24") high covered with impact-absorbing materials that will effectively cushion the fall of a child. Materials may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Violation
 Provider Comments
Violation
The facility's admitting procedure did not include an emergency medical care plan.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.
Correction Required
The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
The facility is operated by a religious organization that recieves federal funds for providing child care and criminal background check results were not on file for Amanda Carroll, Cassandra Cossins.
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 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Compliance
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Violation
 Provider Comments
Violation
A copy of the notice of parental responsibility was not filed annually during the month of August to the department of health and senior services.
Licensing Rule Reference
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 3. states: A copy of notice of parental responsibility, signed by the principal operating officer of the exempt child-care facility and the individual primarily responsible for the religious organization conducting the child-care facility and copies of the annual fire and safety inspections shall be filed annually during the month of August with the director of the department of health and senior services.
Correction Required
A copy of notice of parental responsibility shall be signed by the principal operating officer of the exempt child-care facility and the individual primarily responsible for the religious organization conducting the child-care facility and copies of the annual fire and safety inspections shall be filed annually during the month of August with the director of the department of health and senior services.

Correction Verification
Submit Documentation

Compliance Date
9/2/2022
RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance