DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ALPHA TOTS LEARNING CENTERS II

002891830

(417) 771-5707

718 S SCENIC AVE
SPRINGFIELD
MO  65802-5043

RELIABLE CHILDCARE LLC



 

EDWARDS, STEPHANIE MARIE

director@alphatots2.com


PENNY KREITZER

BIRTH - 10 YEARS

60

GROUP HOME AND CENTER

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

10/31/2023

2:30 PM

4:10 PM

UNANNOUNCED

CLOSE SUPERVISION

2457830849


DocumentDocument-Date
APPLICATION 05/21/2021
REGISTERING FICTITIOUS NAMES 05/21/2021
DIRECTOR'S QUALIFICATIONS 07/09/2021
POLICIES 06/29/2021
SAFE SLEEP POLICY 06/29/2021
SAMPLE WEEKLY MENU 06/29/2021
DISCIPLINE POLICIES 06/29/2021
DAILY SCHEDULE 06/29/2021
CERTIFICATE OF GOOD STANDING 05/21/2021
DIAGRAM/INDOOR 07/13/2021
DIAGRAM/OUTDOOR 07/13/2021
CHILD CARE PRACTICES 07/13/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/13/2021
LINES OF ADMINISTRATIVE AUTHORITY 07/13/2021
LOCAL FIRE DEPARTMENT NOTIFICATION 07/13/2021
SAMPLE FORMS 07/13/2021
LLC OPERATING AGREEMENT 07/13/2021
JOB RESPONSIBILITIES 07/19/2021
LICENSING ORIENTATION 07/16/2021
LLC ARTICLES OF ORGANIZATION 05/21/2021
SANITATION INSPECTION 09/01/2023
EQUIPMENT LIST 07/12/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/26/2023
ANNUAL DECLARATION 07/12/2023
FIRE/SAFETY INSPECTION 05/22/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 4
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 6
Total Children 22
StaffChildClass AgeNote
2 4 INFANTS AND TODDLERS Lindsey Holm and Miesha Graves, Caregivers, with 4 one year old toddlers.
1 3 INFANTS AND TODDLERS Amanda Wilson, Caregiver, with 1 one year old toddler, and 2 infants who were both eight months old. Occupational Therapist, Brianna Green, was also present.
1 8 MIXED Marlena Henson, Caregiver, with 6 preschool age children and 2 school age children.
2 7 TWO YEAR OLDS Tori Jennings and Sarah Dooley, Caregivers.

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's outdoor space was not safe for children's activities as evidenced by weed barrier presented a tripping hazard where it was not covered by resilient surfacing.
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
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, the mattress pad, in the one year old room was not in good condition as evidenced by it was dirty.
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
10/31/2023
Violation
Furniture/equipment, the seat of the green bouncer, in infant/toddler room was not in good condition as evidenced by the seat was dirty.
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
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Shavon Shaffer
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
10/31/2023
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 8/21/2023.
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

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
Violation
 Provider Comments
Violation
1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
1 child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
10/31/2023
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