DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

UNITED METHODIST CHURCH OF CARROLLTON, MISSOURI

000343873

(660) 542-1558

212 N FOLGER ST
CARROLLTON
MO  64633-1733

UNITED METHODIST CHURCH OF CARROLLTON, MISSOURI



 

PLACKEMEIER, JANET M

JANET@DAYCARECARROLLTON.ORG

Incorporated

ELLEN DONOHO

6 WEEKS - 8 YEARS

36

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

11/06/2023

8:29 AM

9:45 AM

UNANNOUNCED

COMPLIANCE MONITORING

2458182603


DocumentDocument-Date
LOCAL BUILDING APPROVAL 10/01/1997
POLICIES 08/29/2013
SAMPLE WEEKLY MENU 10/16/1991
LOCAL ZONING APPROVAL 08/21/2013
JOB RESPONSIBILITIES 10/16/1991
DISCIPLINE POLICIES 10/16/1991
DIAGRAM/OUTDOOR 08/17/2004
DIAGRAM/INDOOR 09/27/1991
DAILY SCHEDULE 10/16/1991
CHILD CARE PRACTICES 10/16/1991
DIRECTOR'S QUALIFICATIONS 02/10/2017
ARTICLES OF INCORPORATION 08/03/2017
APPLICATION 09/09/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/16/2019
STAFF SHEET 09/09/2019
SAFE SLEEP POLICY 09/09/2019
SANITATION INSPECTION 07/12/2023
FIRE/SAFETY INSPECTION 01/03/2023
CERTIFICATE OF GOOD STANDING 08/13/2021
EQUIPMENT LIST 11/06/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/06/2023
ANNUAL DECLARATION 10/18/2023




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 4
Total Children 25
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS 3 months-23 months Alexis Swearingin and Jessica Hawkins, staff
2 19 MIXED 2 years -8 years 4- 2 year old children 1- 8 year old child 4- 5 year old children Janet Plackemeir and Nikki Goodale, staff

 
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 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 no resilient material was present.
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

Violation
The provider did not provide resilient material necessary for the protection of children as evidenced by A board was observed protruding from the ground under the swings..
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 6. states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children.
Correction Required
Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

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
Compliance
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
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