DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

A & J IMAGINATION STATION, LLC

002677161

(660) 327-1184

423 W CALDWELL ST
PARIS
MO  65275-1322

A & J IMAGINATION STATION, LLC



 

ASHENFELTER, ASHLEY M

ajdaycare22@gmail.com


SUSAN MARIE DOUGLAS

BIRTH - 12 YEARS

45

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

10/16/2023

12:45 PM

2:05 PM

UNANNOUNCED

COMPLIANCE MONITORING

2456654687


DocumentDocument-Date
LOCAL ZONING APPROVAL 09/19/2017
SAMPLE FORMS 09/19/2017
SAMPLE WEEKLY MENU 09/19/2017
DAILY SCHEDULE 09/19/2017
ARTICLES OF INCORPORATION 09/19/2017
DIAGRAM/INDOOR 02/26/2012
DIAGRAM/OUTDOOR 02/26/2012
LLC ARTICLES OF ORGANIZATION 09/19/2017
SAFE SLEEP POLICY 08/21/2018
APPLICATION 06/12/2019
SANITATION INSPECTION 07/21/2023
STAFF SHEET 09/06/2019
EQUIPMENT LIST 09/01/2023
ANNUAL DECLARATION 09/01/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/01/2023
FIRE/SAFETY INSPECTION 06/01/2023
DIRECTOR'S QUALIFICATIONS 01/11/2022
POLICIES 03/15/2022
DISCIPLINE POLICIES 03/15/2022
LINES OF ADMINISTRATIVE AUTHORITY 03/15/2022
JOB RESPONSIBILITIES 03/15/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/15/2022
CHILD CARE PRACTICES 03/15/2022
LLC OPERATING AGREEMENT 03/04/2022




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 14
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Eva Hultz staff was present with 4 children all age 1
2 10 MIXED Alexis Charlick staff, and Robyn North staff were present with 10 children ages 2 to 5. 4 children age 2

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
Compliance
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
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Robyn North and Melissa Macomber
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Melissa Macomber and Robyn North .
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) 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