DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SMALL WONDERS CHILDCARE CENTER CENTRAL, LLC

002893070

(636) 337-5733

11339 STATE ROUTE 21
HILLSBORO
MO  63050-5013

SMALL WONDERS CHILDCARE CENTER CENTRAL, LLC



 

BEARD, SARAH M

sarah@yoursmallwonders.com


BRITTANY HECHT

BIRTH - 12 YEARS

56

GROUP HOME AND CENTER

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

03/22/2023

11:55 AM

1:28 PM

UNANNOUNCED

COMPLIANCE MONITORING

2443895803


DocumentDocument-Date
APPLICATION 09/15/2021
DIAGRAM/INDOOR 06/03/2021
DIRECTOR'S QUALIFICATIONS 05/28/2021
DISCIPLINE POLICIES 08/26/2021
FIRE/SAFETY INSPECTION 05/25/2022
LINES OF ADMINISTRATIVE AUTHORITY 09/15/2021
JOB RESPONSIBILITIES 08/26/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/01/2022
LLC ARTICLES OF ORGANIZATION 08/26/2021
POLICIES 08/26/2021
SAFE SLEEP POLICY 08/26/2021
SAMPLE FORMS 08/26/2021
DIAGRAM/OUTDOOR 09/02/2021
EQUIPMENT LIST 09/01/2022
LICENSING ORIENTATION 09/17/2021
LLC OPERATING AGREEMENT 09/15/2021
LOCAL FIRE DEPARTMENT NOTIFICATION 09/17/2021
SANITATION INSPECTION 05/13/2022
CHILD CARE PRACTICES 09/27/2021
DAILY SCHEDULE 09/27/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/27/2021
SAMPLE WEEKLY MENU 09/27/2021
LOCAL BUILDING APPROVAL 09/28/2021
LOCAL ZONING APPROVAL 09/28/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 12
Total Children 40
StaffChildClass AgeNote
3 8 INFANTS AND TODDLERS Angie Jackson, Ness Mobley & Haley Reese, Caregivers 8 - 6-20 Month Olds
2 5 INFANTS AND TODDLERS Kathey Mehl & Christina Sampson, Caregivers 5 - 12-23 Month Olds
2 8 MIXED Haley Gillam & Madalyn Lehmann, Caregivers 4 - 2 Year Olds 4 - 3 & 4 Year Olds
1 9 MIXED Emilee Knapp, Caregiver 1 - 2 Year Old 3 - 3 & 4 Year Olds
1 10 MIXED James Kyle, Caregiver 4 - 5 Year Olds 6 - 5-10 Year Olds
1 0 NO CHILDREN IN ATTENDANCE Lucinda Brands, Cook
2 0 NO CHILDREN IN ATTENDANCE Leah Dornseif, Assistant Director Becky Brown, 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
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by the deck board on the Emergency Exit Ramp is loose & bowed.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date
3/22/2023
Violation
The premises were not safe and suitable as evidenced by the lattice serving as a barrier in front of the windows in the Orange Room was not secured to the wall on either corner.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date
3/22/2023
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 2 electrical outlets on the Preschool Playground were not plugged.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
3/22/2023
Violation
The walls located in the downstairs Preschool Classroom was/were not in good condition as evidenced by the paint had chipped off exposing bare drywall in the inside of the window to the left of the Emergency Exit Door.
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

Violation
There was evidence of dirt/debris in the Green Room on the ceiling fans & exhaust fan.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Corrected on Site

Compliance Date
3/22/2023
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the turf near the dividing fence is not secure to the ground resulting in a tripping hazard.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or 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 premises were not safe and suitable as evidenced by the lattice serving as a barrier in front of the windows in the Green Room was cracked on the right side.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date

Violation
The premises were not safe and suitable as evidenced by the lattice serving as a barrier in front of the windows in the Red Room was cracked on the left side.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date

Violation
There was evidence of dirt/debris in the Orange Room on the ceiling fans.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Corrected on Site

Compliance Date
3/22/2023
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
Violation
 Provider Comments
Violation
Outdoor equipment, the straight blue slide on the large climber, in the Preschool Playground was not in good condition as evidenced by the top of the slide was cracked where it bolts onto the climber.
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
Submit Documentation

Compliance Date
3/22/2023
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
Marissa Barton did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (C) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall complete safe sleep training described in section (4) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department approved safe sleep training must be completed within 30 days of employment or volunteering.

Correction Verification
Submit Documentation

Compliance Date
3/22/2023
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: Misty Kemper.
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
3/22/2023
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