DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

A SMALL WORLD PRE-SCHOOL, INC.

000169919

(573) 334-0969

1215 N KINGSHIGHWAY
CAPE GIRARDEAU
MO  63701

A SMALL WORLD PRE-SCHOOL, INC.



 

MARTIN, LESLIE DIANE

SMALLWORLDKIDS@YAHOO.COM

Incorporated

JESSICA SPENCER

24 MONTHS - 12 YEARS

99

GROUP HOME AND CENTER

 
Inspection Information

06/05/2023

12:30 PM

2:43 PM

UNANNOUNCED

COMPLIANCE MONITORING

2448482809


DocumentDocument-Date
POLICIES 04/30/1996
DISCIPLINE POLICIES 04/30/1996
CHILD CARE PRACTICES 04/30/1996
SAMPLE WEEKLY MENU 04/30/1996
DAILY SCHEDULE 07/19/1996
LOCAL ZONING APPROVAL 07/26/1996
JOB RESPONSIBILITIES 07/26/1996
LINES OF ADMINISTRATIVE AUTHORITY 07/26/1996
ARTICLES OF INCORPORATION 02/06/1996
DIRECTOR'S QUALIFICATIONS 07/09/1985
DIAGRAM/OUTDOOR 11/09/1993
DIAGRAM/INDOOR 11/09/1993
LOCAL FIRE DEPARTMENT NOTIFICATION 10/25/2017
APPLICATION 02/13/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/05/2018
STAFF SHEET 04/05/2018
CERTIFICATE OF GOOD STANDING 02/13/2018
EQUIPMENT LIST 02/28/2022
SANITATION INSPECTION 04/29/2022
FIRE/SAFETY INSPECTION 03/30/2022
ANNUAL DECLARATION 02/28/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/28/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 6
Total Children 44
StaffChildClass AgeNote
1 6 PRESCHOOL Caregiver, Paula Walker with six children all four years of age.
1 8 PRESCHOOL Caregivers, Jessica Lanigan with eight children all three years of age.
2 19 SCHOOL AGE Caregivers: Suellen Head and Cathy Clark with nineteen children five years of age to eight years of age.
2 11 TWO YEAR OLDS Caregivers: Leslie Martin and Angela Ward with eleven children all two years of age.

 
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
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
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: Jessica Lanigan.
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

Violation
The medical examination report on file was older than 12 months before the individual's begin date at the facility.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (C) states: Medical examination reports shall be completed not more than twelve (12) months prior to beginning work in the facility and may be transferable to another child care facility for subsequent employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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