DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

LAKE HILLS EARLY LEARNING ACADEMY

002948592

(417) 425-7947

5350 N 23RD ST
OZARK
MO  65721-8486

LAKE HILLS CHURCH

5350 N 23RD ST
OZARK
MO  65721-8486

SHUMAN, SUSAN MICHELE

shumanis4learning@gmail.com

Incorporated

PENNY KREITZER

24 MONTHS - 6 YEARS

40

LICENSE EXEMPT PROGRAM

 
Inspection Information

09/13/2023

10:30 AM

11:44 AM

ANNOUNCED

ANNUAL

2454464580


DocumentDocument-Date
FIRE/SAFETY INSPECTION 08/10/2023
SANITATION INSPECTION 08/15/2023
NOTICE OF PARENTAL RESPONSIBILITY 08/29/2023




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: 8
Attendance at Time of Inspection
Total Staff 3
Total Children 14
StaffChildClass AgeNote
2 10 MIXED Candace Eddings and Michele Shuman, Caregivers, with 2 two year old children and 8 preschool age children.
1 4 PRESCHOOL Sharon Banning, Caregiver

Compliance List
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
5 CSR 25-300.040 Staffing Requirements
Compliance
5 CSR 25-300.050 Health Requirements
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by an immunization record was not on file the first day a child attended and there was no exemption on file.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (3) states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-300.060 Responsibilities of Caregivers
Compliance
5 CSR 25-300.070 Fire Safety Requirements
Compliance
5 CSR 25-300.080 Sanitation Requirements
Violation
 Provider Comments
Violation
The facility did not meet the requirements for diapering surfaces. The diapering surface was not cleaned and sanitized after each use.
Licensing Rule Reference
5 CSR 25-300.080 Sanitation Requirements (3) (C) states: The diapering surface, after each use, shall be cleaned and sanitized with a sanitizer approved by the department.
Correction Required
The facility shall provide diapering surfaces as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by 2 outlet covers were missing in the younger children's room and 4 outlet covers were missing in the large room with tables and chairs.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities 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
Submit Documentation

Compliance Date

Violation
Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured approxinately 5 1/2 inches (under the gate).
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2").
Correction Required
The outdoor play area shall be on or adjoining the property and fenced as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The equipment, a dome climber and slides, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by they was no approved resilient surfacing as the slides and dome were placed on grass.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (D) states: The fall-zone area under and around outdoor equipment over twenty-four inches (24") high covered with impact-absorbing materials that will effectively cushion the fall of a child. Materials may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

Correction Verification
Submit Documentation

Compliance Date

Violation
Equipment in the outdoor play area, the swings, was not in good condition as evidenced by the saucer swing had a hole in it and the chain covers on the regular swing were torn.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (G) states: Outdoor equipment shall be safely constructed, in good condition, and free of sharp, loose or pointed parts. Stationary equipment such as swings, slides and climbers shall be anchored securely.
Correction Required
Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the name and phone number of the family physician, or hospital, or both.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Compliance
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Compliance
RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance