DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

HANNIBAL CHILDREN'S CENTER

001502574

(573) 406-5700

150 MEDICAL DR
HANNIBAL
MO  63401

HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.

PO BOX 551
HANNIBAL
MO  63401-0551

VAN TRESS, MEREDITH ANN

meredith.vantress@hannibalregional.org

Incorporated

BETHANY CARREL DUCKWORTH

6 WEEKS - 12 YEARS

156

GROUP HOME AND CENTER

32 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/24/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2453197314


DocumentDocument-Date
SAFE SLEEP POLICY 09/15/2008
SAMPLE WEEKLY MENU 11/03/2010
DAILY SCHEDULE 06/05/2007
ARTICLES OF INCORPORATION 10/04/1990
CERTIFICATE OF GOOD STANDING 07/08/2002
LINES OF ADMINISTRATIVE AUTHORITY 08/15/2000
JOB RESPONSIBILITIES 08/17/2000
OWNER/PROVIDER REFERENCES 07/31/2000
DISCIPLINE POLICIES 07/20/2000
CHILD CARE PRACTICES 07/20/2000
POLICIES 07/31/2000
SAMPLE FORMS 01/03/2005
DIAGRAM/INDOOR 08/18/2011
DIAGRAM/OUTDOOR 05/23/2008
DIRECTOR'S QUALIFICATIONS 04/06/2001
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/21/2000
APPLICATION 05/11/2020
STAFF SHEET 06/18/2020
REGISTERING FICTITIOUS NAMES 04/04/2019
FIRE/SAFETY INSPECTION 07/17/2023
SANITATION INSPECTION 04/18/2023
EQUIPMENT LIST 07/27/2023
ANNUAL DECLARATION 07/27/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/27/2023




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
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 11-2-2020.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is 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. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/24/2023
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