DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ECONOMIC SECURITY CORPORATION OF SOUTHWEST AREA

002219656

(417) 313-5144

706 ORCHARD ST
CARTHAGE
MO  64836-2344

ECONOMIC SECURITY CORPORATION OF SOUTHWEST AREA



 

HARNAR, LEISA DAWN

lharnar@escswa.org

Incorporated

ANGEL DONSON

BIRTH - 35 MONTHS

24

GROUP HOME AND CENTER

8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

08/24/2023

10:11 AM

12:35 PM

UNANNOUNCED

COMPLIANCE MONITORING

2453306254


DocumentDocument-Date
LOCAL BUILDING APPROVAL 12/13/2017
LOCAL ZONING APPROVAL 12/13/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 12/14/2017
STAFF SHEET 08/25/2021
APPLICATION 07/05/2017
DIAGRAM/INDOOR 07/26/2017
DIAGRAM/OUTDOOR 07/26/2017
CHILD CARE PRACTICES 08/15/2017
DAILY SCHEDULE 08/15/2017
DISCIPLINE POLICIES 08/15/2017
LINES OF ADMINISTRATIVE AUTHORITY 08/15/2017
POLICIES 08/15/2017
SAMPLE WEEKLY MENU 08/15/2017
CERTIFICATE OF GOOD STANDING 08/15/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/05/2018
SAFE SLEEP POLICY 12/05/2018
SANITATION INSPECTION 05/24/2023
FIRE/SAFETY INSPECTION 05/10/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/28/2023
EQUIPMENT LIST 07/28/2023
ANNUAL DECLARATION 07/28/2023
DIRECTOR'S QUALIFICATIONS 08/24/2023




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 7
Total Children 14
StaffChildClass AgeNote
3 4 INFANTS AND TODDLERS Caregivers Carli Jones, Kaitlin Sullivan and Velda Moore (Cook) with four children ages 3-16 months old.
2 5 MIXED Caregivers Flor Ruiz, Maria Salas and Douglas Smith (Maintenance) with five children. Two children are age 2 years old and three children are ages 8-18 months old.
2 5 MIXED Caregivers Yolimar Rodriguez and Leandra Nevills with five children. Three children are age 2 years old and two children are age 1 year old. Walli Hill (Early Head Start Coordinator) was in the classroom.

 
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 Family Care Safety Registry check was not conducted for Flor Ruiz within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Corrected on Site

Compliance Date
8/24/2023
Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and 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, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Submit Documentation

Compliance Date
7/14/2023
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
Violation
 Provider Comments
Violation
Safe sleep training was not completed within the past 3 years for the following staff Maria Salas.
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

Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Maria Salas
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Corrected on Site

Compliance Date
8/24/2023
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
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