DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

NOURISHING HEARTS CHILD CARE LLC

002994452

(636) 236-6239

1014 SHADOWOAK DR
BALLWIN
MO  63021-6546

NOURISHING HEARTS CHILD CARE LLC



 

ZINOVCHIK, YELENA

yelzin@hotmail.com


MICHELLE (SHELLEY) TRUESDALE

BIRTH - 5 YEARS

10

FAMILY HOME

IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS
 
Inspection Information

08/02/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2445577926


DocumentDocument-Date
SANITATION INSPECTION 02/14/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/22/2023
CHILD CARE/DISCIPLINE POLICIES 03/31/2023
EQUIPMENT LIST 03/22/2023
APPLICATION 01/19/2023
POLICIES 03/22/2023
SAMPLE WEEKLY MENU 03/22/2023
DIAGRAM/OUTDOOR 03/22/2023
DIAGRAM/INDOOR 03/22/2023
SAFE SLEEP POLICY 03/31/2023
DAILY SCHEDULE 03/31/2023
SAFETY PLAN 04/13/2023
LICENSING ORIENTATION 03/24/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/13/2023
FIRE/SAFETY INSPECTION 05/23/2023
LLC OPERATING AGREEMENT 07/09/2023
CERTIFICATE OF GOOD STANDING 07/09/2023




Inspection determined facility to be in compliance with licensing rules.
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

 
5 CSR 25-400.025 Organization and Administration
Compliance
5 CSR 25-400.045 Licensing Process
Violation
 Provider Comments
Violation
The fire safety inspection was not conducted..
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (5) states: Prior to the granting of a license, the provider shall meet the requirements of 5 CSR 25-400.086 Fire Safety.
Correction Required
The provider shall submit evidence of compliance with fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date
5/23/2023
Violation
The written policies and procedures were not submitted.
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (4) (G) states: Written policies and procedures which clearly establish job responsibilities and lines of administrative authority;
Correction Required
The provider shall submit written policies to include job responsibilities or the lines of administrative authority.

Correction Verification
Submit Documentation

Compliance Date
3/31/2023
Violation
The schedule of daily activities was not submitted.
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (4) (D) states: A schedule of daily activities for children;
Correction Required
The provider shall submit a daily schedule for all ages of children in care.

Correction Verification
Submit Documentation

Compliance Date
3/31/2023
Violation
A sex offender resides within 1000 feet of the family child care home and the safety plan was not submitted.
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (4) (O) states: A completed safety plan, if a sex offender resides within one thousand (1,000) feet of the family child care home;
Correction Required
The provider shall submit a safety plan.

Correction Verification
Submit Documentation

Compliance Date
4/13/2023
Violation
The child care home cares for children under twelve (12) months of age and the safe sleep policy was not submitted.
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (4) (N) states: A written safe sleep policy, if licensed to care for children under twelve (12) months of age;
Correction Required
The provider shall submit a safe sleep policy.

Correction Verification
Submit Documentation

Compliance Date
3/31/2023
Violation
A written disaster and emergency plan was not submitted.
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (4) (M) states: A written disaster and emergency plan;
Correction Required
The provider shall submit a written disaster and emergency plan.

Correction Verification
Submit Documentation

Compliance Date
6/13/2023
Violation
The facility is owned by a legal entity and evidence of good standing was not available.
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (4) (K) states: Documentation as required by the Missouri Secretary of State and state law to verify the legal entity is in good standing, if a family child care home is owned by a legal entity.
Correction Required
The provider shall submit evidence that the legal entity is in good standing with the Missouri Secretary of State and state law.

Correction Verification
Submit Documentation

Compliance Date
5/24/2023
5 CSR 25-400.055 Annual Requirements
Compliance
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Compliance
5 CSR 25-400.086 Fire Safety
Compliance
5 CSR 25-400.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility's disaster and emergency plan was not available in each room used for child care as evidenced by no plan as of yet.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster emergency plan is readily available in the office area and in each room used for care of children.
Correction Required
The facilities disaster and emergency plan must be available in required locations.

Correction Verification
Submit Documentation

Compliance Date
6/13/2023
Violation
The facility's list of emergency numbers are not posted in each room used for child care, specifically not yet created.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station.
Correction Required
Facility must post information as required.

Correction Verification
Submit Documentation

Compliance Date
3/31/2023
Violation
The facility's evacuation route diagram was not posted in each room used for child care.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room.
Correction Required
Facility must post information as required.

Correction Verification
Submit Documentation

Compliance Date
4/13/2023
5 CSR 25-400.095 Furniture, Equipment and Materials
Compliance
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Violation
 Provider Comments
Violation
The the provider, Yelena Zinovchik did not complete safe sleep training prior to licensure.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (5) (B) states: The provider and assistant(s) in a family child care home shall complete the safe sleep training described in section (5) of this rule prior to licensure.
Correction Required
Prior to receiving a license, the provider and assistant(s) must complete department approved safe sleep training.

Correction Verification
Submit Documentation

Compliance Date
3/25/2023
5 CSR 25-400.115 Child Care Family and Household
Compliance
5 CSR 25-400.125 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report was not on file for assistant(s): Liana Ivanchuk.
Licensing Rule Reference
5 CSR 25-400.125 Medical Examination Reports (1) (D) states: Assistants who are employed or volunteer more than five (5) hours per week shall have a medical examination report on file within thirty (30) days of beginning work in the home.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
5/18/2023
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: Yelena Zinovchik & Liana Ivanchuk.
Licensing Rule Reference
5 CSR 25-400.125 Medical Examination Reports (1) (E) . 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
6/13/2023
5 CSR 25-400.135 Admission Policies and Procedures
Compliance
5 CSR 25-400.145 Nighttime Care
Compliance
5 CSR 25-400.155 Overlap Care of Children
Compliance
5 CSR 25-400.165 Emergency School Closings
Compliance
5 CSR 25-400.175 Child Care Program
Compliance
5 CSR 25-400.185 Health Care
Compliance
5 CSR 25-400.190 Nutrition and Food Service
Compliance
5 CSR 25-400.200 Transportation and Field Trips
Compliance
5 CSR 25-400.210 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Yelena Zinovchik, Liana Ivenchuk, & Ivan Zinovchik.
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
5/24/2023
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
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance