DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MARYVILLE HEAD START

000603609

(660) 582-4347

1212 D S MAIN ST
MARYVILLE
MO  64468

COMMUNITY SERVICES, INCORPORATED, OF NORTHWEST MISSOURI



 

SHAW, KELSIE D

LAUFFERT@CSINWMO.ORG

Incorporated

KATIE BRUGGEMAN

36 MONTHS - 6 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

08/31/2023

10:27 AM

11:39 AM

UNANNOUNCED

COMPLIANCE MONITORING

2453942185


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 10/03/1994
JOB RESPONSIBILITIES 10/03/1994
DISCIPLINE POLICIES 10/03/1994
ARTICLES OF INCORPORATION 01/10/2013
CHILD CARE PRACTICES 10/03/1994
POLICIES 10/03/1994
SAMPLE WEEKLY MENU 10/03/1994
LOCAL BUILDING APPROVAL 03/29/1999
LOCAL ZONING APPROVAL 03/29/1999
DAILY SCHEDULE 06/28/1995
DIAGRAM/OUTDOOR 03/18/1999
DIAGRAM/INDOOR 03/18/1999
DIRECTOR'S QUALIFICATIONS 05/01/2018
APPLICATION 11/27/2018
ANNUAL DECLARATION 03/01/2023
CERTIFICATE OF GOOD STANDING 03/01/2023
EQUIPMENT LIST 03/01/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/01/2023
SANITATION INSPECTION 11/16/2022
FIRE/SAFETY INSPECTION 03/07/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance 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 5
Total Children 20
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE Staff: Dani McClurg was present with no children in attendance.
2 10 PRESCHOOL Caregivers: Kohner Vanderpool and Alexia Lowry were present with ten children aged 3-5 years old.
2 10 PRESCHOOL Caregivers: Kathy Brown and Sady Sharp were present with ten children aged 3-5 years old.

Compliance List
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 requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that there were missing covers in the outlet by the kitchen.
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
Submit Documentation

Compliance Date

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
Furniture/equipment, tops of shelves and table, in West Classroom was not in good condition as evidenced by sticky residue.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.102 Personnel
Violation
 Provider Comments
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
Submit Documentation

Compliance Date

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