DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ADVOCATES FOR A HEALTHY COMMUNITY, INC.

002947093

(417) 851-1560

2020 EVERGREEN PKWY
LEBANON
MO  65536-4611

ADVOCATES FOR A HEALTHY COMMUNITY, INC.

440 E TAMPA ST
SPRINGFIELD
MO  65806-1131

MILLER, BRITTANY NICOLE

earlychildhood@jordanvalley.org


ALLA GERASIMOVA

6 WEEKS - 12 YEARS

60

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

12/11/2023

11:21 AM

11:54 AM

UNANNOUNCED

REINSPECTION

2460132713


DocumentDocument-Date
POLICIES 08/11/2022
DIAGRAM/INDOOR 04/11/2022
DIAGRAM/OUTDOOR 04/11/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/24/2022
LINES OF ADMINISTRATIVE AUTHORITY 08/11/2022
ARTICLES OF INCORPORATION 04/11/2022
JOB RESPONSIBILITIES 08/11/2022
CERTIFICATE OF GOOD STANDING 04/11/2022
REGISTERING FICTITIOUS NAMES 04/11/2022
CHILD CARE PRACTICES 06/06/2022
DISCIPLINE POLICIES 06/06/2022
LICENSING ORIENTATION 06/13/2022
FIRE/SAFETY INSPECTION 08/25/2023
LOCAL BUILDING APPROVAL 04/27/2022
LOCAL FIRE DEPARTMENT NOTIFICATION 08/30/2022
LOCAL ZONING APPROVAL 04/07/2022
SAMPLE FORMS 08/11/2022
SANITATION INSPECTION 08/26/2022
APPLICATION 08/23/2022
EQUIPMENT LIST 08/24/2022
SAMPLE WEEKLY MENU 08/24/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/11/2022
DAILY SCHEDULE 08/24/2022
DIRECTOR'S QUALIFICATIONS 04/14/2022
SAFE SLEEP POLICY 08/11/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   9/7/2023



Inspection determined facility to be in compliance with 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 13
Total Children 33
StaffChildClass AgeNote
3 5 INFANTS AND TODDLERS Caregivers Linda Fisher, Shelby Rothwell and Becky Anderson present with five infants, including 7 month old, 11 month old and one 1 year old.
2 9 MIXED Careigvers Korrie Brinton and Lori Rogers present with nine children, including eight 2 years old and one 3 years old.
3 0 NO CHILDREN IN ATTENDANCE Melissa Schmidt a program coordinator and Brittany Miller - a director , and Tracy Chapman a cook present with no children in attendance.
3 9 PRESCHOOL Caregivers Chloe Kelm, Makayla Lahey and Megan Horn present with nine preschool children. Megan Horn left for lunch .
2 10 PRESCHOOL Caregivers Vanessa Chapman and Atisha Rogers present with ten preschool age children, all 3 years old.

 
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
5 CSR 25-500.087 Fire Safety
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by a blanket was found hanging on the side of the child's crib. The child was 7 month old and was asleep in a crib.During 12/11/23 inspection CI observed no safe sleep violations: no blankets inside or outside of the cribs.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. G states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items.
Correction Required
Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation.

Correction Verification
Return Inspection

Compliance Date
12/11/2023
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
Verification of safe sleep training was not documented and maintained as evidenced by .
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) 1. states: The training shall be documented and maintained as described in paragraph (3)(F)2. of this rule.
Correction Required
Safe sleep training shall be documented and maintained.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Taylor Puff as evidenced by a medical examination was not on file at the facility at the time of initial licensure.
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

5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.162 Overlap Care of Children
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed