DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

STEPPING STONES DAYCARE & PRESCHOOL, LLC

002070066

(573) 756-7422

1162 E KARSCH BLVD
FARMINGTON
MO  63640-3407

STEPPING STONES DAYCARE & PRESCHOOL, LLC



 

STONE HALL, PATRICIA LYNN

PATTIEY9918@YAHOO.COM


JESSICA SPENCER

6 WEEKS - 16 YEARS

97

GROUP HOME AND CENTER

10 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

12/06/2023

1:15 PM

4:33 PM

UNANNOUNCED

COMPLIANCE MONITORING

2460140935


DocumentDocument-Date
LOCAL BUILDING APPROVAL 11/20/2017
CHILD CARE PRACTICES 12/06/2017
DIAGRAM/INDOOR 11/30/2017
DISCIPLINE POLICIES 12/06/2017
DIRECTOR'S QUALIFICATIONS 12/06/2017
JOB RESPONSIBILITIES 12/06/2017
LINES OF ADMINISTRATIVE AUTHORITY 12/06/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 11/21/2017
LLC ARTICLES OF ORGANIZATION 12/07/2017
POLICIES 12/06/2017
SAMPLE WEEKLY MENU 11/30/2017
LOCAL ZONING APPROVAL 11/27/2017
LLC OPERATING AGREEMENT 12/06/2017
DAILY SCHEDULE 12/07/2017
DIAGRAM/OUTDOOR 12/07/2017
APPLICATION 10/21/2019
STAFF SHEET 10/21/2019
EQUIPMENT LIST 09/06/2023
SANITATION INSPECTION 08/22/2023
FIRE/SAFETY INSPECTION 08/08/2022
ANNUAL DECLARATION 09/06/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/06/2023




Inspection determined facility to be in compliance with 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 10
Total Children 46
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Caregivers, Nicole Spehr and Jaelyn Eardol with seven children ages thirteen months to twenty-one months.
2 5 INFANTS AND TODDLERS Caregivers: Paula Crawford and Brittany Thomas with five children ages four months to eleven months.
2 0 NO CHILDREN IN ATTENDANCE Patricia Stone Hall- Director Linsey Crawford- Assistant Director
1 8 PRESCHOOL Caregiver, Mackenzie Gonzales with eight children all three years of age.
1 8 PRESCHOOL Caregivers, Cheyenne Von Thun with eight children ages three years of age to five years of age.
1 13 SCHOOL AGE Caregiver, Kayla Daugherty with thirteen children ages five years of age to eleven years of age.
1 5 TWO YEAR OLDS Caregiver, Megan Elders with five children all two years of age.

 
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

Violation
The Family Care Safety Registry check was not conducted for Patricia Stone Hall, Linsey Crawford, Paula Crawford, Brittany Thomas, Sarah Simmons, Emily Johnson, Kayla Daugherty, Destiney Kopp, Jaelyn Bardol, Morgan Carolyon, Megan Elders and Mackenzie Gonzalez within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

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 facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the fence located in the 2's play ground was not secure in 5 areas.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Corrected on Site

Compliance Date
12/6/2023
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
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 5/9/2022.
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
Violation
 Provider Comments
Violation
Information regarding the date and circumstance of accident or injury was not noted in the child's record.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (5) (B) states: Information regarding the date and circumstance of any accident or injury shall be noted in the child's record.
Correction Required
The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.

Correction Verification
Corrected on Site

Compliance Date
12/6/2023
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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Cheyenne Von Thun.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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