DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ADVOCATES FOR A HEALTHY COMMUNITY, INC.

002947093

(417) 334-8337

860 LYNN ST
LEBANON
MO  65536-3810

ADVOCATES FOR A HEALTHY COMMUNITY, INC.



 

BARKER, BROOKE A

earlychildhood@jordanvalley.org

Incorporated

KATHLEEN WILSON

6 WEEKS - 6 YEARS

65

GROUP HOME AND CENTER

7 CHILDREN UNDER 24 MONTHS
 
Inspection Information

09/01/2023

8:50 AM

1:34 PM

ANNOUNCED

INITIAL

2453806679


DocumentDocument-Date
APPLICATION 08/23/2022
EQUIPMENT LIST 08/24/2022
SAMPLE WEEKLY MENU 08/24/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/11/2022
DAILY SCHEDULE 08/24/2022
DIRECTOR'S QUALIFICATIONS 04/14/2022
POLICIES 08/11/2022
SAFE SLEEP POLICY 08/11/2022
DIAGRAM/INDOOR 04/11/2022
DIAGRAM/OUTDOOR 04/11/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/24/2022
LINES OF ADMINISTRATIVE AUTHORITY 08/11/2022
ARTICLES OF INCORPORATION 04/11/2022
JOB RESPONSIBILITIES 08/11/2022
CERTIFICATE OF GOOD STANDING 04/11/2022
REGISTERING FICTITIOUS NAMES 04/11/2022
CHILD CARE PRACTICES 06/06/2022
DISCIPLINE POLICIES 06/06/2022
LICENSING ORIENTATION 06/13/2022
FIRE/SAFETY INSPECTION 08/29/2022
LOCAL BUILDING APPROVAL 04/27/2022
LOCAL FIRE DEPARTMENT NOTIFICATION 08/30/2022
LOCAL ZONING APPROVAL 04/07/2022
SAMPLE FORMS 08/11/2022
SANITATION INSPECTION 08/26/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 10
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 3
StaffChildClass AgeNote
3 0 NO CHILDREN IN ATTENDANCE Melissa Schmidt, Melissa Wehner and Brittany Miller attending inspection.

 
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 premises were not safe and suitable as evidenced by floor rugs curling upward to pose a tripping hazard in Room C (2 year old room) Room D (3-4 year olds) and Room E (4-5 year olds).
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Corrected on Site

Compliance Date
9/1/2023
Violation
The facility did not have an adequate number of flush toilets and hand wash sinks in the infant/toddler unit as evidenced by Room E (4-5 year olds) and Room D (3-4 year olds).
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (C) 1. states: One (1) flush toilet and one (1) adjacent hand washing facility with running water shall be available for every twenty-four (24) children in an infant/toddler unit.
Correction Required
The facility shall provide one flush toilet and one adjacent hand wash sink for every 24 children in the infant/toddler unit.

Correction Verification
Corrected on Site

Compliance Date
9/1/2023
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
The facility did not meet requirements for blocks, construction and transportations toys. The facility needed an additional eleven items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. A. states: Blocks, construction and transportation toys;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for large muscle activities. The facility needed an additional eight items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. D. states: Large muscle activities;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for music and rhythm activities. The facility needed an additional eleven items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. F. states: Music and rhythm activities;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility had an insufficient amount of equipment and materials. The facility need an additional thirty four items.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. . states: A minimum of forty (40) approved items shall be required for every ten (10) children in the licensed capacity of the facility. The forty (40) items shall include at least four (4) items from each of the following categories:
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for push-pull toys. The facility needed an additional four items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (C) 1. A. states: Push-pull toys;
Correction Required
The facility shall provide approved equipment as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The facility did not conduct a Family Care Safety Registry screening for M.Schmidt, who was hired on 3/14/2022.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not conduct a Family Care Safety Registry screening for T.Chapman, who was hired on 6/6/2022.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not conduct a Family Care Safety Registry screening for L.Fisher, who was hired on 7/5/2022.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not conduct a Family Care Safety Registry screening for V.Chapman, who was hired on 7/5/2022.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Corrected on Site

Compliance Date
9/1/2023
Violation
The facility did not conduct a Family Care Safety Registry screening for A.Rogers, who was hired on 7/5/2022.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Corrected on Site

Compliance Date
9/1/2023
Violation
The facility did not conduct a Family Care Safety Registry screening for K.Brinton, who was hired on 7/31/2023.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Corrected on Site

Compliance Date
9/1/2023
Violation
The facility did not conduct a Family Care Safety Registry screening for L.Rogers, who was hired on 10/24/2022.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Corrected on Site

Compliance Date
9/1/2023
Violation
The facility did not conduct a Family Care Safety Registry screening for C.Kelm, who was hired on 5/30/2023.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not conduct a Family Care Safety Registry screening for S.Emmons, who was hired on 10/27/2022.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Corrected on Site

Compliance Date
9/1/2023
Violation
The facility did not conduct a Family Care Safety Registry screening for M.Lahey, who was hired on 2/27/2023.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Corrected on Site

Compliance Date
9/1/2023
Violation
The facility did not conduct a Family Care Safety Registry screening for H.Hash, who was hired on 3/6/2023.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Corrected on Site

Compliance Date
9/1/2023
Violation
The facility did not conduct a Family Care Safety Registry screening for M.Horn, who was hired on 2/27/2023.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Corrected on Site

Compliance Date
9/1/2023
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 B.Miller 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

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