DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CATERPILLAR CLUBHOUSE CHILD CENTER, LLC

002479036

(573) 559-2101

803 S JACKSON ST
KENNETT
MO  63857-3476

CATERPILLAR CLUBHOUSE CHILD CENTER, LLC

2808 ANNETTE ST
KENNETT
MO  63857-7501

THOMPSON, KIMBERLY

gayla@pemdunk.com


SARAH L THACKER

BIRTH - 12 YEARS

50

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/16/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2452750566


DocumentDocument-Date
POLICIES 06/16/2014
LOCAL FIRE DEPARTMENT NOTIFICATION 06/19/2014
SAMPLE WEEKLY MENU 06/19/2014
JOB RESPONSIBILITIES 07/01/2014
LINES OF ADMINISTRATIVE AUTHORITY 07/01/2014
DISCIPLINE POLICIES 06/19/2014
DAILY SCHEDULE 07/01/2014
CHILD CARE PRACTICES 06/19/2014
DIAGRAM/OUTDOOR 07/01/2014
DIAGRAM/INDOOR 07/01/2014
REGISTERING FICTITIOUS NAMES 07/03/2014
LLC ARTICLES OF ORGANIZATION 07/03/2014
LLC OPERATING AGREEMENT 07/01/2014
LOCAL ZONING APPROVAL 08/29/2014
DIRECTOR'S QUALIFICATIONS 07/23/2014
SAFE SLEEP POLICY 01/11/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/05/2018
APPLICATION 07/13/2020
EQUIPMENT LIST 08/08/2023
FIRE/SAFETY INSPECTION 05/30/2023
SANITATION INSPECTION 05/31/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/08/2023
ANNUAL DECLARATION 08/08/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   8/26/2022



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
Violation
 Provider Comments
Violation
The walls located in the kitchen area was/were not in good condition as evidenced by the paint was peeling on the wall next to the vent.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
8/9/2023
Violation
The ceilings located in the back preschool room was/were not in good condition as evidenced by there was a large stain and paint that was hanging from the ceiling.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
8/9/2023
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
Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by gaps were observed between the mattress/pad and side of the crib or playpen.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. D. states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used. Only fitted sheet shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date
8/9/2023
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
Violation
 Provider Comments
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
Submit Documentation

Compliance Date
8/9/2023
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Durena Holt.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
8/16/2023
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