DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SHELBY'S PLAY AND LEARN CHILDCARE LLC

002938496

(660) 438-4003

1018 REDBUD DR.
WARSAW
MO  65355

SHELBY'S PLAY AND LEARN CHILDCARE LLC

33987 YODER AVE
WARSAW
MO  65355-5237

SLOAN, SHELBY ANN

Shelby.Sloan22@icloud.com


KATHLEEN WILSON

BIRTH - 12 YEARS

60

GROUP HOME AND CENTER

24 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

08/16/2023

10:00 AM

11:03 AM

UNANNOUNCED

CLOSE SUPERVISION

2452786568


DocumentDocument-Date
APPLICATION 01/28/2022
CERTIFICATE OF GOOD STANDING 01/28/2022
CHILD CARE PRACTICES 06/05/2022
DAILY SCHEDULE 06/05/2022
DIAGRAM/INDOOR 06/15/2022
DIAGRAM/OUTDOOR 06/15/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/05/2022
DISCIPLINE POLICIES 06/05/2022
JOB RESPONSIBILITIES 04/22/2022
LINES OF ADMINISTRATIVE AUTHORITY 05/03/2022
LLC ARTICLES OF ORGANIZATION 01/28/2022
LLC OPERATING AGREEMENT 05/04/2022
LOCAL BUILDING APPROVAL 04/28/2022
LOCAL FIRE DEPARTMENT NOTIFICATION 04/22/2022
LOCAL ZONING APPROVAL 04/28/2022
POLICIES 06/05/2022
REGISTERING FICTITIOUS NAMES 01/27/2022
SAFE SLEEP POLICY 06/05/2022
SAMPLE WEEKLY MENU 04/14/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/18/2023
EQUIPMENT LIST 07/18/2023
SAMPLE FORMS 06/16/2022
LICENSING ORIENTATION 01/27/2022
FIRE/SAFETY INSPECTION 07/31/2023
SANITATION INSPECTION 03/22/2023
DIRECTOR'S QUALIFICATIONS 05/19/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   4:30PM   7/14/2022
  6:30AM   7:30AM   7/14/2022



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 11
Total Children 64
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Amy Patton with four children ages 5-6 months. ( Three children age 6 months old and one child age 5 months old)
2 6 INFANTS AND TODDLERS Madison Howell and Isis Pierson with six children age 1 year old.
2 5 INFANTS AND TODDLERS Tammy Mondy and Cora Rodgers with five children ages 18 months to 2 years old.
1 0 NO CHILDREN IN ATTENDANCE Jennifer Goodwin, cook, preparing meal with no children in attendance.
2 20 PRESCHOOL Katrina Thigpen and Brandi Terrell with twenty children ages 3-4 years old.
1 13 SCHOOL AGE Edsel (Frank) McMillian with thirteen children ages 5 years and above.
2 16 TWO YEAR OLDS Shelby Sloan and Courtney Munsell with sixteen children age 2 years old.

 
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 annual fire safety inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date
7/31/2023
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 fence edges curling upward from the ground inward toward the children's play space in the Pre-K playground on the left hand side when exiting the door.
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
8/16/2023
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the wooden fence along the far back of the Pre-K playground has broken boards along the ground allowing a child to possibly crawl out of the playground.
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

Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that Preschool room and Infant / Toddler Room..
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
8/16/2023
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
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: B.Albright needs 4 hours, K.Pennington needs 2 hours, M.Underwood needs 4 hours, T.Mondy needs 4 hours, K.Thigpen needs 1.5 hours, and T.Vaassen needs 6 hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

Violation
Safe sleep training was not completed within the past 3 years for the following staff P.Shockley, I.Pierson, E.McMillia, C. Rogers, and J.Ryles.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for J.Ryles as evidenced by a medical examination was not on file at the facility at the time of initial licensure.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/1/2023
Violation
Medical examination report(s) was/were not on file for T.Mondy, C.Munsell, K.Pennington, S.Sloan, B.Terrell, K.Thigpen, M.Underwood, P.Shockley and C.Rogers as evidenced by the medical examination was not signed by the required medical source.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/1/2023
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: M.Flippin, C.Munsell, K.Pennington, S.Sloan, B.Terrell, K.Thigpen, T.Vaassen, and E.McMillian.
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
7/3/2023
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