DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BOARD OF TRUSTEES OF NORTH KANSAS CITY HOSPITAL

000942323

(816) 691-2058

2551 CLAY EDWARDS DR
NORTH KANSAS CITY
MO  64116

BOARD OF TRUSTEES OF NORTH KANSAS CITY HOSPITAL



 

WUNDER, SUSAN GAYLE

SUSY.WUNDER@NKCH.ORG


KRYSTAL WILLIAMS

6 WEEKS - 16 YEARS

196

GROUP HOME AND CENTER

48 CHILDREN IN THE INFANT/TODDLER UNIT; 27 CHILDREN UNDER 12 MONTHS; 48 CHILDREN UNDER 24 MONTHS
 
Inspection Information

07/07/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2450235824


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 11/07/1995
DISCIPLINE POLICIES 05/09/1997
SAMPLE WEEKLY MENU 05/09/1997
JOB RESPONSIBILITIES 02/13/1997
LINES OF ADMINISTRATIVE AUTHORITY 05/09/1997
LLC ARTICLES OF ORGANIZATION 02/13/1997
DAILY SCHEDULE 05/09/1997
SAMPLE FORMS 05/09/1997
CHILD CARE PRACTICES 05/09/1997
LOCAL BUILDING APPROVAL 05/28/1997
LOCAL ZONING APPROVAL 05/28/1997
POLICIES 05/09/1997
DIAGRAM/INDOOR 08/04/2000
DIAGRAM/OUTDOOR 08/04/2000
APPLICATION 03/04/2019
SAFE SLEEP POLICY 08/17/2016
EQUIPMENT LIST 06/27/2022
ANNUAL DECLARATION 06/30/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/30/2023
SANITATION INSPECTION 04/17/2023
FIRE/SAFETY INSPECTION 03/23/2023




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 25-500.032 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 Kimberly Adams, Kayla Anderson, Meagan Barnett, Jodi Barnhart, Heather Blair, Julie Brough, Cody Burton, Brenda Carson, Corin Cutting, Ciavanna Distefano, Elizabeth Eastburn, Tammy Edmisten, Kailey Fullerton, Brittany Gonzalez, Hailey Grant, Julie Hall, Denise Hiserote, Marcie Hornaday, Kathleen Inzerillo, Janice Johnson, Misty Jones, Teresiah Kibue, Sarah Kimbrell, Leslie McNair, Brynn Monaghan, Madison Neds, Tracy Nichols, Shanon Powers, Carolyn Rodriguez, Carolina Saldana, Vivien Steenstra, Melissa Sunderland, Kaija Wallace, Jessica Welch, Meghan Whipple, Katherine Withee, Claire Wunder, Susan Wunder, Jessie Youngblood 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
6/30/2023
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
6/30/2023
Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Submit Documentation

Compliance Date
6/30/2023
Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date
6/30/2023
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the shed on the 3 year old playground was missing a board under the window on the left side of the shed. Also, missing a board on the bottom by the doorway. Two holes in the siding on the front and right side.
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
6/30/2023
Violation
Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date
6/30/2023
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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4 inches on at the gate of 2 year old 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
6/30/2023
Violation
The facility's outdoor space was not safe for children's activities as evidenced by weeds growing on the 2's playground around shed.
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
6/30/2023
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
Furniture/equipment, yellow lego table, in Space Room was not in good condition as evidenced by chipping paint.
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
6/30/2023
Violation
Furniture/equipment, teacher desk, in Roost Room was not in good condition as evidenced by chipping paint and sharp edges.
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
6/30/2023
Violation
Furniture/equipment, wall in dramatic play area, in Roost Room was not in good condition as evidenced by sticky black residue on wall.
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
6/30/2023
Violation
Furniture/equipment, wooden block shelf, in Treehouse Room was not in good condition as evidenced by center divider is broken.
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
6/30/2023
Violation
Furniture/equipment, block center shelf with trucks, in Treehouse Room was not in good condition as evidenced by sticky residue on shelving.
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
6/30/2023
Violation
Furniture/equipment, bathroom sink, in Space Room was not in good condition as evidenced by laminate was chipped on top corner leaving shape edges.
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
6/30/2023
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
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