DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

M AND P DAYCARE, LLC

002195780

(573) 783-6605

115 N MARTHA ST
MARQUAND
MO  63655

M AND P DAYCARE, LLC

3208 MADISON 320
MARQUAND
MO  63655-8633

CURETON, KELLY

kaw10@live.com


SARAH L THACKER

BIRTH - 12 YEARS

50

GROUP HOME AND CENTER

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

09/20/2023

11:45 AM

12:45 PM

UNANNOUNCED

COMPLIANCE MONITORING

2455189488


DocumentDocument-Date
LOCAL ZONING APPROVAL 01/13/2014
LINES OF ADMINISTRATIVE AUTHORITY 11/30/2009
LLC ARTICLES OF ORGANIZATION 11/30/2009
CHILD CARE PRACTICES 02/18/2010
POLICIES 02/18/2010
DAILY SCHEDULE 02/18/2010
SAMPLE WEEKLY MENU 02/18/2010
JOB RESPONSIBILITIES 02/18/2010
DISCIPLINE POLICIES 02/18/2010
LOCAL FIRE DEPARTMENT NOTIFICATION 12/21/2015
LLC OPERATING AGREEMENT 01/27/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/09/2018
SAFE SLEEP POLICY 01/09/2018
APPLICATION 12/30/2019
DIAGRAM/INDOOR 10/16/2020
DIAGRAM/OUTDOOR 06/11/2015
DIRECTOR'S QUALIFICATIONS 09/26/2022
EQUIPMENT LIST 06/12/2023
SANITATION INSPECTION 03/21/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/12/2023
ANNUAL DECLARATION 06/12/2023
FIRE/SAFETY INSPECTION 06/13/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 5
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 21
StaffChildClass AgeNote
2 3 INFANTS AND TODDLERS Caregiver Shelly Whitener and Kathy Stallard with children ages 15 months to 18 months.
2 13 MIXED Caregiver Cheyenne Osborn, Payton Chaffin and Designated Person in Charge Karen Whitener with 3 children 2 years of age and 10 children ages 3 years to 4 years.
1 5 TWO YEAR OLDS Caregiver Aranda Amelunke with children 2 years of age.

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
Violation
 Provider Comments
Violation
The annual fire safety inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date

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 there are no barriers or car stops in place in front of the building or along the playground. During the inspection on 3/6/2023, car stops were placed but were not anchored.
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
Submit Documentation

Compliance Date

Violation
Children were not restricted to approved space as evidenced by the utility room door was open.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Corrected on Site

Compliance Date
9/20/2023
Violation
The walls located behind the trashcan in the infant/toddler unit was/were not finished with material which can be cleaned easily as evidenced by the chalky substance of the sheetrock was exposed.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Return Inspection

Compliance Date

Violation
Staff or older children used the infant/toddler areas as passageway to other parts of the building as evidenced by Payton Chaffin and a 4 year old child came out of the infant/toddler unit during the inspection. When asked about this, Karen stated the child had been sick and was using the bathroom in the infant/toddler unit.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (VIII) states: Infant/toddler areas may not be used by staff or older children as passageways to other areas of the building.
Correction Required
Infant/toddler areas shall not be used as a passageway by other staff or children.

Correction Verification
Corrected on Site

Compliance Date
9/20/2023
Violation
The facility's outdoor space was not safe for children's activities as evidenced by there are vines growing in the playground.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Return Inspection

Compliance Date

Violation
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by the resilient material used is unapproved in that the facility did not have documentation showing the new mats being used in the infant/toddler playground were made for resiliency.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 5. states: The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which will effectively cushion the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification
Submit Documentation

Compliance Date
9/20/2023
Violation
Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Corrected on Site

Compliance Date
9/20/2023
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 requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the top of the picnic table on the preschool playground was not on the table.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: Shelly Whitener needs 7.5 hours, Mary Lord needs 9 hours, Kelly Cuerton needs 1.5 hours, Karen Whitener needs 1 hour and Cheyenne Osborn needs 9 hours. As of 6/12/2023, all hours have been corrected except for Shelly Whitener who still needs 1.75 hours for 2022.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date
9/20/2023
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 6/21/22.
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
7/26/2023
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