DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

WATCH ME GROW

002691716

(573) 243-8806

10719 STATE HWY W
JACKSON
MO  63755-8010

RUESLER, NICOLE RENEE



 

RUESLER, NICOLE RENEE

NIKKIRUESLER@YAHOO.COM


JESSICA SPENCER

6 WEEKS - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

10/03/2023

8:20 AM

9:25 AM

UNANNOUNCED

COMPLIANCE MONITORING

2456020682


DocumentDocument-Date
LOCAL FIRE DEPARTMENT NOTIFICATION 01/24/2018
SAMPLE WEEKLY MENU 01/24/2018
SAFE SLEEP POLICY 01/24/2018
CHILD CARE PRACTICES 01/24/2018
REGISTERING FICTITIOUS NAMES 12/25/2017
DAILY SCHEDULE 02/05/2018
DISCIPLINE POLICIES 03/05/2018
POLICIES 03/05/2018
DIRECTOR'S QUALIFICATIONS 03/09/2018
DIAGRAM/INDOOR 03/05/2018
DIAGRAM/OUTDOOR 03/05/2018
LINES OF ADMINISTRATIVE AUTHORITY 03/21/2018
LOCAL ZONING APPROVAL 03/21/2018
JOB RESPONSIBILITIES 03/21/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/21/2018
OWNER/PROVIDER REFERENCES 03/05/2018
STAFF SHEET 02/07/2020
APPLICATION 01/06/2020
EQUIPMENT LIST 02/28/2023
FIRE/SAFETY INSPECTION 03/08/2023
SANITATION INSPECTION 02/07/2023
ANNUAL DECLARATION 02/28/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/28/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   9/24/2019



Inspection determined facility to be in compliance with licensing rules.
Compliance 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 3
Total Children 16
StaffChildClass AgeNote
3 16 MIXED At arrival: Caregivers: Kelsey Garland and Nicole "Nikki" Ruesler with one child eleven months, one child sixteen months, six children two years of age, four children three years of age, two children four years of age and one child five years of age. Ratios 2:15. During the inspection, Baleigh Arnzen arrived with one child thirteen months of age. Ratios were changed from 2:15 to 3:16.

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 facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that one section on the far-left side of the play area and one section on the far-right side of the play area was not secure at the top.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Return Inspection

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
Outdoor equipment, two large dump trucks and one ride on toy, in the outdoor play area was not in good condition as evidenced by the plastic located on the equipment was cracked.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor 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
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by fifteen children, ages eleven months to five years of age, were cared for by two caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children.
Correction Required
Correct staff/child ratios shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
10/3/2023
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