DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

T-REX INVESTMENTS, LLC

002592976

(573) 491-1120

531 S SUMMIT DR
HOLTS SUMMIT
MO  65043-1449

T-REX INVESTMENTS, LLC

482 KAREN DR
HOLTS SUMMIT
MO  65043-1543


trexinvestmentsllc@gmail.com


JOY LYNN NICHOLS

BIRTH - 2 YEARS

48

GROUP HOME AND CENTER

20 CHILDREN UNDER 12 MONTHS; 32 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/27/2023

8:55 AM

9:39 AM

UNANNOUNCED

COMPLIANCE MONITORING

2441833417


DocumentDocument-Date
LICENSING ORIENTATION 08/05/2016
SAFE SLEEP POLICY 08/05/2016
SAMPLE WEEKLY MENU 08/05/2016
DAILY SCHEDULE 08/05/2016
LINES OF ADMINISTRATIVE AUTHORITY 08/05/2016
JOB RESPONSIBILITIES 08/05/2016
LLC OPERATING AGREEMENT 08/23/2016
DIRECTOR'S QUALIFICATIONS 09/02/2016
LOCAL ZONING APPROVAL 09/02/2016
LOCAL BUILDING APPROVAL 09/02/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 08/24/2016
CHILD CARE PRACTICES 08/24/2016
DISCIPLINE POLICIES 08/24/2016
SAMPLE FORMS 08/24/2016
POLICIES 08/24/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/24/2016
APPLICATION 08/05/2020
DIAGRAM/INDOOR 08/19/2020
DIAGRAM/OUTDOOR 08/19/2020
STAFF SHEET 08/19/2020
SANITATION INSPECTION 06/11/2021
FIRE/SAFETY INSPECTION 07/12/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/24/2022
EQUIPMENT LIST 10/24/2022
ANNUAL DECLARATION 10/24/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 10
Total Children 36
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS children ages 12 months to 18 months; Jessica Everts and Amy Grim
2 6 INFANTS AND TODDLERS children ages 21 months to 23 months; Rita Snow and Monet Davis
2 6 INFANTS AND TODDLERS children ages 8 months to 12 months; Kayla Deal and Katie Stimson
2 5 INFANTS AND TODDLERS children ages 8 weeks to 9 months; Nicole Blackburn and Sophia Syfert
1 6 TWO YEAR OLDS Annabelle Provencal
1 7 TWO YEAR OLDS Kamryn Kraft

 
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The annual fire safety inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date

Violation
The annual sanitation inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

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 facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Submit Documentation

Compliance Date
2/14/2023
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Audrey Irwin, Caitlyn Lehenbauer, Annabelle Provencal, and Harlie Sneller.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date
2/14/2023
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 9/7/21 and 10/25/21.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/14/2023
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
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.
Not Observed