DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

END OF THE RAINBOW CDC

001962256

(573) 442-7979

2505 OLD 63 S
COLUMBIA
MO  65201-5319

ALL CHILDREN FIRST LLC



 

WYATT, SHANE WESTON

shane@rainbowchildcare.com


CYNTHIA D MADDOX

6 WEEKS - 7 YEARS

140

GROUP HOME AND CENTER

30 CHILDREN UNDER 12 MONTHS; 48 CHILDREN UNDER 24 MONTHS; THIS LICENSE INCLUDES ADDRESS: 2511 OLD 63 S, COLUMBIA, MO 65201; 2505 OLD 63 S BUILDING: 99 CHILDREN, 6 WEEKS THROUGH 12 YEARS; 2511 OLD 63 S BUILDING: 60 CHILDREN, 2 YEARS THROUGH 12 YEARS
 
Inspection Information

02/27/2023

10:00 AM

12:45 PM

UNANNOUNCED

COMPLIANCE MONITORING

2441846830


DocumentDocument-Date
SAMPLE WEEKLY MENU 02/16/2006
REGISTERING FICTITIOUS NAMES 06/07/2010
POLICIES 12/09/2009
DISCIPLINE POLICIES 12/09/2009
DIRECTOR'S QUALIFICATIONS 11/15/2005
DIAGRAM/OUTDOOR 03/24/2008
DIAGRAM/INDOOR 10/07/2010
DAILY SCHEDULE 02/21/2006
CHILD CARE PRACTICES 12/09/2009
LOCAL BUILDING APPROVAL 10/07/2010
LLC ARTICLES OF ORGANIZATION 02/09/2006
JOB RESPONSIBILITIES 02/16/2006
LINES OF ADMINISTRATIVE AUTHORITY 02/21/2006
STAFF SHEET 12/09/2019
APPLICATION 10/31/2019
EQUIPMENT LIST 01/31/2023
SANITATION INSPECTION 12/02/2022
FIRE/SAFETY INSPECTION 01/26/2023
ANNUAL DECLARATION 01/31/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/27/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/30/2019
LICENSING ORIENTATION 12/09/2009
LLC OPERATING AGREEMENT 10/31/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 12/09/2009
SAFE SLEEP POLICY 10/31/2019
LOCAL ZONING APPROVAL 12/09/2009




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 7
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 22
Total Children 111
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Andrew Maxwell and Kenzie Yaroch were the staff in the Infant Rm 1 with the children. Children range in age from 3 months to 10 months.
1 4 INFANTS AND TODDLERS Grace Jett was the staff with the children in Infant Rm 2. Children ranged in age from 7 months to 10 months.
2 8 INFANTS AND TODDLERS Raul Cosme and Natayla Selby were the staff in the Infant Rm 3. Children ranged in age from 3 months to 15 months.
2 8 INFANTS AND TODDLERS Laela Jackson and Jan Chesher were the staff with the children in the Toddler Rm 1. Children ranged in age from 14 months to 21 months.
2 8 INFANTS AND TODDLERS Ashley Hoecker and Fnu Balqees were the staff in the Toddler Rm 2. Children ranged in age from 16 months to 20 months.
2 8 INFANTS AND TODDLERS Ally Hyman and Grace Boulden were the staff with in Toddler Rm 3. Children ranged in age from 13 months to 22 months.
2 19 MIXED Shane Wyatt and Robyn King were the staff in the Pre-K room. Children ranged in age from 4 years to 5 years.
2 0 NO CHILDREN IN ATTENDANCE Additional staff: Ami Romero-Perez (asst. director) and Ashley Hatton (kitchen)
2 16 PRESCHOOL Tania Maxey and Genoveva Pedolak were the staff in the Pre-School Rm 1. Children ranged in age from 3 to 4 years.
2 10 PRESCHOOL Prajita Koirala and Alex Rogers were the staff in Pre-School Rm 2. Children were 3 to 4 years.
3 24 TWO YEAR OLDS Jessica Patterson, Destiny Cramer and Caden Kraft were the staff in the Two's Rm. Children were all 2 years old.

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Genoveva Podolak, Laela Jackson, Raul Cosme, Kenzie Yaroch, Grace Jett, Fnu Balqees, Ally Hyman, Jan Chesher and Alex Rogers within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The facility did not have the required number of diapering tables. There was an insufficient number of diapering tables as evidenced by there were only 1 diapering table(s) for 11 I/T.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (B) states: Facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space shall have one (1) diapering table for every group of eight (8) infant/toddlers and one (1) diapering table for every group of sixteen (16) two (2)-year olds.
Correction Required
The facility shall provide one diaper change table for every group of 8 I/Ts and one diaper change table for every 16 two-year olds. (GF)

Correction Verification
Submit Documentation

Compliance Date
2/27/2023
Violation
The infant/toddler space had partition(s) that were not 4' tall - the height of the partition(s) were 2 1/2 feet tall.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (V) states: In facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, no more than twenty four (24) infants/toddlers and/or two (2)-year olds shall be in a room. A room shall be defined as an area separated from other parts of the building by floor-to-ceiling walls. Stable partitions a minimum of four feet (4') in height shall be used to separate the infant/toddler or two (2)-year old groups, or both, in a room;
Correction Required
The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.

Correction Verification
Submit Documentation

Compliance Date
2/27/2023
Violation
The walls located in the 2 year old classroom in the science room behind the door and in the pretend play room on the far wall was/were not in good condition as evidenced by there was peeling paint in both locations.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
2/27/2023
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
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Laela Jackson (9 hours) for 2022.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

Violation
Safe sleep training was not completed within the past 3 years for the following staff Genoveva Podolak, Fnu Balqees, Jan Chesher, Alex Rogers, Ami Romero-Perez and Ashley Hatton.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

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: Genoveva Podolak (12 hours), Kenzie Yaroch (12 hours), Grace Jett (12 hours), Ally Hyman (12 hours) and Jan Chesher (12 hours).
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
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Raul Cosme and Fnu Balqees as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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: Fnu Balqees.
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 tuberculin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Genoveva Podolak, Raul Cosme, Kenzie Yaroch, Fnu Balqees, Jan Chesher, Robyn King and Alex Rogers.
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