DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KOALA BEAR DAYCARE & LEARNING CENTER LLC

002593706

(417) 683-1085

404 HAILEY ST
AVA
MO  65608-5497

KOALA BEAR DAYCARE & LEARNING CENTER LLC



 

ALLEN, SHANDA GAYE

Koalakids-avamo@outlook.com


ELAINE S COX

BIRTH - 12 YEARS

34

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT; 7 CHILDREN UNDER 12 MONTHS
 
Inspection Information

07/11/2023

10:02 AM

12:21 PM

UNANNOUNCED

COMPLIANCE MONITORING

2450364633


DocumentDocument-Date
LOCAL ZONING APPROVAL 07/06/2016
LLC ARTICLES OF ORGANIZATION 04/15/2016
POLICIES 04/21/2016
LINES OF ADMINISTRATIVE AUTHORITY 07/25/2016
DIAGRAM/INDOOR 04/21/2016
CHILD CARE PRACTICES 07/25/2016
DIRECTOR'S QUALIFICATIONS 04/27/2016
DISCIPLINE POLICIES 07/25/2016
DAILY SCHEDULE 07/25/2016
SAMPLE WEEKLY MENU 07/25/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 07/09/2016
LLC OPERATING AGREEMENT 07/25/2016
DIAGRAM/OUTDOOR 04/21/2016
LOCAL BUILDING APPROVAL 07/07/2016
SAFE SLEEP POLICY 08/17/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/02/2018
JOB RESPONSIBILITIES 04/17/2020
SANITATION INSPECTION 06/20/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/01/2023
EQUIPMENT LIST 06/01/2023
ANNUAL DECLARATION 06/01/2023
FIRE/SAFETY INSPECTION 05/24/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
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 5
Total Children 31
StaffChildClass AgeNote
1 3 INFANTS AND TODDLERS Carol Allen with 3 children ages 8 months to 9 months.
1 3 INFANTS AND TODDLERS Ashtin Stillings with 3 children ages 9 months to 12 months.
2 16 MIXED Cassie Dietz and Sarah Brown with 16 children ages 2-year-old to 3-years-old. This included 8- 2-year old children.
1 9 PRESCHOOL Shanda Allen with 9 children ages 3-years-old to 5- years-old.

Compliance List
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 observed surface area under slide, from which a child might fall consists of bare soil.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.
Correction Required
The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

Correction Verification
Corrected on Site

Compliance Date
7/11/2023
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
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
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by provider did not have permission to obtain emergency medical care.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care;
Correction Required
Child enrollment information shall be completed and 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
Violation
 Provider Comments
Violation
2 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
7/11/2023
Violation
1 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
7/11/2023
Violation
1 child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
7/11/2023
Violation
1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
7/11/2023
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