DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SMALL WONDERS CHILDCARE CENTER RAINTREE, LLC

002914743

(636) 797-2273

6008 STATE ROAD B
HILLSBORO
MO  63050-3048

SMALL WONDERS CHILDCARE CENTER RAINTREE, LLC



 

RAMSEY, TIFFANY D

tiffany@yoursmallwonders.com


BRITTANY HECHT

BIRTH - 12 YEARS

64

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT; 14 CHILDREN UNDER 12 MONTHS
 
Inspection Information

05/04/2023

9:18 AM

11:33 AM

UNANNOUNCED

COMPLIANCE MONITORING

2446639559


DocumentDocument-Date
ANNUAL DECLARATION 05/04/2023
APPLICATION 09/22/2021
CERTIFICATE OF GOOD STANDING 09/22/2021
CHILD CARE PRACTICES 10/15/2021
DAILY SCHEDULE 10/04/2021
DISCIPLINE POLICIES 10/04/2021
EQUIPMENT LIST 11/18/2022
JOB RESPONSIBILITIES 10/04/2021
LINES OF ADMINISTRATIVE AUTHORITY 10/13/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/18/2022
LOCAL FIRE DEPARTMENT NOTIFICATION 10/18/2021
POLICIES 10/04/2021
SAFE SLEEP POLICY 10/04/2021
SAMPLE FORMS 10/04/2021
SAMPLE WEEKLY MENU 10/04/2021
LICENSING ORIENTATION 10/06/2021
LLC ARTICLES OF ORGANIZATION 09/22/2021
LLC OPERATING AGREEMENT 10/18/2021
DIAGRAM/INDOOR 10/18/2021
DIAGRAM/OUTDOOR 10/18/2021
DIRECTOR'S QUALIFICATIONS 10/18/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/27/2021
FIRE/SAFETY INSPECTION 08/01/2022
LOCAL BUILDING APPROVAL 10/20/2021
LOCAL ZONING APPROVAL 10/20/2021
SANITATION INSPECTION 09/22/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  4:00PM   5:00PM   4/6/2022
  7:00AM   8:00AM   4/6/2022



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 8
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 46
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS Ashley Nelson & Fe Stidem, Caregivers 8 - 12-23 Month Olds
2 5 INFANTS AND TODDLERS Kaylee Dace & Kay (Nelda) Smith, Caregivers 5 - 4-10 Month Olds
1 10 MIXED Amanda Yarosh, Caregiver 1 - 2 Year Old 9 - 3 Year Olds
1 0 NO CHILDREN IN ATTENDANCE Kayla West, Cook/Designated Person in Charge
1 0 NO CHILDREN IN ATTENDANCE Annette Vaughn, LLC Managing Member
1 10 PRESCHOOL Cheyenne Davis, Caregiver 10 - 3 & 4 Year Olds
1 8 PRESCHOOL Kate Badders, Caregivers 8 - 3-5 Year Olds
1 5 TWO YEAR OLDS Elizabeth Barnes, Caregiver 5 - 2 Year Olds

 
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 Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and 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, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Submit Documentation

Compliance Date
5/4/2023
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Children were not restricted to approved space as evidenced by the Teacher Cabinet in the Red Room was not locked/latched leaving the space accessible to children.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Corrected on Site

Compliance Date
5/4/2023
Violation
The premises were not safe and suitable as evidenced by the Emergency Exit/Playground door does not self-close- in order to latch the door closed you must pull it closed.
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 counter tops in the Orange Room & Purple Room are not secured to the cabinets.
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 facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the gate was not properly installed to close off the area under the stairs (the stairs enclose the Playground so children are not able to get out of the Playground).
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the top rail that goes into the corner post at the concrete retaining wall under the stairs was not secured (the fence is still up so children are not able to get out of the Playground).
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date

Violation
Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Corrected on Site

Compliance Date
5/4/2023
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the top rail was not attached to anything under the stairs (the stairs enclose the Playground so children are not able to get out of the Playground).
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date

Violation
Hazardous items as follows were accessible to children: Barbasol Shaving Cream. The item(s) was/were located in the drawer in the Orange Room.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
5/4/2023
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that the outlet in the the Boys Bathroom did not have protective outlet covers.
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
5/4/2023
Violation
Children were not restricted to approved space as evidenced by the door to the Office/Laundry Room was not locked/latched leaving the space accessible to children.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Corrected on Site

Compliance Date
5/4/2023
Violation
The premises were not safe and suitable as evidenced by the Emergency Exit door in the I/T Unit does not self close -in order to latch the door closed you must pull it closed.
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

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
Furniture/equipment, the cabinets, in the Orange Room was not in good condition as evidenced by the counter top edge & kickplate at the bottom of the cabinets are bare particle board.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the finish has peeled off of the train table exposing bare particle board.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.

Correction Verification
Submit Documentation

Compliance Date
3/3/2023
Violation
Furniture/equipment, the cabinets, in the Purple Room was not in good condition as evidenced by the counter top edge & kickplate at the bottom of the cabinets are bare particle board.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.102 Personnel
Compliance
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: DJ, RP & BS.
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
3/3/2023
Violation
Medical examination report form did not contain all required information as evidenced by the Medical Examination Report for RP did not state that they were in good physical & emotional health & free of contagious disease.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff 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
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
3/3/2023
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