DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

TENDERCARE LEARNING CENTER #11

000760396

(636) 928-9907

4778 CENTRAL SCHOOL RD
ST CHARLES
MO  63304

RWSW INC.



 

SMITH, SAVANNAH LYNN

tclccsr11@yahoo.com

Incorporated

AMY MUSSELMAN

1 MONTH - 12 YEARS

57

GROUP HOME AND CENTER

8 CHILDREN UNDER 12 MONTHS; 8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

11/09/2023

8:44 AM

10:05 AM

UNANNOUNCED

COMPLIANCE MONITORING

2458514096


DocumentDocument-Date
DISCIPLINE POLICIES 11/06/1995
SAMPLE WEEKLY MENU 12/29/1995
ARTICLES OF INCORPORATION 02/05/1996
DIAGRAM/INDOOR 11/01/1995
DIAGRAM/OUTDOOR 11/01/1995
POLICIES 11/06/1995
SAMPLE FORMS 11/06/1995
LINES OF ADMINISTRATIVE AUTHORITY 11/06/1995
LOCAL ZONING APPROVAL 11/07/2023
LOCAL BUILDING APPROVAL 11/07/2023
CHILD CARE PRACTICES 11/06/1995
DAILY SCHEDULE 11/06/1995
JOB RESPONSIBILITIES 12/29/1995
APPLICATION 07/17/2019
STAFF SHEET 10/14/2020
CERTIFICATE OF GOOD STANDING 11/08/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/07/2023
REGISTERING FICTITIOUS NAMES 11/08/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN 11/19/2020
SANITATION INSPECTION 08/29/2023
DIRECTOR'S QUALIFICATIONS 07/27/2021
FIRE/SAFETY INSPECTION 08/09/2023
EQUIPMENT LIST 11/07/2023
SAFE SLEEP POLICY 10/27/2021
ANNUAL DECLARATION 11/07/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   8/20/2021



Inspection determined facility to be in compliance with licensing rules.
Compliance 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 5
Total Children 20
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Miranda Turpin, teacher, and Jenna Turpin, teacher, were in attendance with seven children, ages 4-months-old to 23-months-old.
1 7 MIXED Annette Sarandos, teacher, was in attendance with seven children, ages 2-years-old to 3-years-old.
1 0 NO CHILDREN IN ATTENDANCE Savannah Smith, Director, was in attendance with no children present.
1 6 PRESCHOOL Michelle Smith, teacher, was in attendance with six children, ages 4-years-old to 5-years-old.

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
Cynthia Harvey did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) 3. states: The child care provider, group child care home provider, child care staff members, and volunteers shall complete safe sleep training described in subsection (4)(A) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

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
Medical examination report(s) was/were not on file for Cynthia Harvey and Christen Bauguess as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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: Cynthia Harvey and Christen Bauguess.
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