DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

TIGER CUB CARE

002692199

(660) 465-8511

450 E SIGLER AVE
MEMPHIS
MO  63555-1726

SCOTLAND COUNTY MEMORIAL HOSPITAL DISTRICT



 

SPURLOCK, VENESSA MARIE

spurlockv@scotlandcountyhospital.com


BETHANY CARREL DUCKWORTH

BIRTH - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/02/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2451762108


DocumentDocument-Date
APPLICATION 01/18/2019
SAFE SLEEP POLICY 02/08/2019
REGISTERING FICTITIOUS NAMES 11/22/2017
POLICIES 02/11/2019
CHILD CARE PRACTICES 02/11/2019
DAILY SCHEDULE 02/11/2019
LINES OF ADMINISTRATIVE AUTHORITY 03/13/2019
DISCIPLINE POLICIES 02/11/2019
DIRECTOR'S QUALIFICATIONS 05/12/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/12/2019
JOB RESPONSIBILITIES 03/13/2019
SAMPLE WEEKLY MENU 03/13/2019
LOCAL ZONING APPROVAL 03/20/2019
DIAGRAM/INDOOR 03/13/2019
SAMPLE FORMS 03/13/2019
STAFF SHEET 05/22/2019
DIAGRAM/OUTDOOR 04/22/2019
SANITATION INSPECTION 02/01/2023
FIRE/SAFETY INSPECTION 03/07/2023
EQUIPMENT LIST 05/31/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/22/2023
ANNUAL DECLARATION 05/22/2023




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
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
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by one child's immunization record(s) was/were not on file.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
7/24/2023
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
One child(ren) records did not include name, address and telephone number 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
Submit Documentation

Compliance Date
7/24/2023
Violation
Records were not available for inspection by the department upon request as evidenced by attendance records were not available for CI Duckworth to review during CS inspection on 7-20-2023.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.

Correction Verification
Submit Documentation

Compliance Date
7/24/2023
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