DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OPERATION BREAKTHROUGH, INC.

000181824

(816) 756-3511

3039 TROOST AVE
KANSAS CITY
MO  64109

OPERATION BREAKTHROUGH, INC.



 

MULKEY, MARY E

marym@operationbreakthrough.org

Incorporated

RACHEL CATRELL

6 WEEKS - 16 YEARS

741

GROUP HOME AND CENTER

64 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

12/12/2023

8:00 AM

12:29 PM

UNANNOUNCED

COMPLIANCE MONITORING

2460656883


DocumentDocument-Date
ANNUAL DECLARATION 12/12/2023
DIRECTOR'S QUALIFICATIONS 10/01/2013
DIAGRAM/INDOOR 02/14/2006
DIAGRAM/OUTDOOR 02/14/2006
LINES OF ADMINISTRATIVE AUTHORITY 05/01/1979
SAMPLE FORMS 02/19/1982
SAMPLE WEEKLY MENU 10/04/1993
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/01/2012
SAFE SLEEP POLICY 08/29/2012
CHILD CARE PRACTICES 05/24/2018
DAILY SCHEDULE 05/24/2018
DISCIPLINE POLICIES 05/24/2018
JOB RESPONSIBILITIES 05/24/2018
POLICIES 05/24/2018
APPLICATION 10/18/2022
CERTIFICATE OF GOOD STANDING 10/03/2022
EQUIPMENT LIST 12/12/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/12/2023
FIRE/SAFETY INSPECTION 11/20/2023
SANITATION INSPECTION 09/19/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 7
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 98
Total Children 225
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS Caregivers Mikayla McNeal and Jordan Newham with 5 infants aged 4 mon to 14 mon.
2 6 INFANTS AND TODDLERS Caregivers Danisha Littlejohn and Ashley Jacobs with 6 infants aged 5 mon- 12 mon. In the room was also a volunteer, Robin Payne, not counted in ratio.
1 5 INFANTS AND TODDLERS Caregiver Reola Hamlett with 5 infants aged 8 mon- 13 mon. Volunteer Nancy Taylor was also in the room but does not count in ratio. Caregiver Bridget Lowther joined after 5 minutes.
3 4 INFANTS AND TODDLERS Caregivers Chaniequa Johnson, Brinesha Smith, Loure Flanagan with 4 infants aged 8 mon- 15 mon. Volunteer Margot Cordos in room but not counted in ratio.
3 6 MIXED Caregivers Ashli Thorton, Kailanie Shelmon, and Ramona Simmons with 6 children, 5-2 year olds and 1-1 year old.
2 5 MIXED Caregivers Haley Beacham and Arki Collins with 5 children. 3 children aged 2 years and 2 children that were 1 years old.
1 4 MIXED Caregiver Claire Ungashick with 4 children aged 3-2 year olds and 1-3 year old.
2 5 MIXED Caregiver Sparkle Day and Flor Salnas with 5 children. 2-1 year olds, and 3- 2 year olds.
1 4 MIXED Caregiver Andrea Williams with 4 children. 2-2 year olds and 2-3 year olds. Volunteer London Brown also in the room but not counted in ratio.
1 3 MIXED Caregiver Belinda Williams with 3 children, 2-2 year olds and 1-3 year old.
44 0 NO CHILDREN IN ATTENDANCE Director Mary Mulkey, Caregivers Janie Degan, Anna McDonald, Brooke Taylor, Cynthia Hackney, Matthew Peterson, Emily Lenza, Russell Walter, Tasha Miller, Cynthia Karus, Felix Mall, Melisa Phillippi, Peyton Bransfield, Joni Beem, Merron Asmelash, Tequila Boyd, Kimmikka Brown, Leatrice Chiney, Nicole Dabney, Mary Esselman, Leticia Galindo, Dixie Glenn, Bobby Gray, Robert Gunn, Erica Handley, Triva Jackson, Lynette Johnston, Michell Jones, Jessica Karriman-Kibby, Daniel Kibby, Ruby Martin, Gerado Mendez, Christine Minkler, Brandy Perez, Kelly Phelps, Joseph Pusateri, Sylvia Ramsey, Elsa Reyes-Miraldo, Arica Rife, Keyonna Robinson, Christopher Rogers, Sherei Stiles, Patricia Thompson, and Willie Jr. Wilkins.
2 16 PRESCHOOL Caregivers Linda Edwards and Danny Assefa with 16 children all 4-5 years old.
2 17 PRESCHOOL Caregivers Vanshay Purnell and Shantay Winston with 17 children all aged 4-5 years old.
2 10 PRESCHOOL Caregivers Makayla Bradford and Rachel Shaa with 10 children all aged 4-5 years old.
2 10 PRESCHOOL Caregivers Wanda Hudson and Donald Black with 10 children all 4-5 years old.
3 14 PRESCHOOL Caregivers Aliyah Weston, Sarah Sturgis, and Caroline Lloyd with 14 children all 4-5 years old.
3 10 PRESCHOOL Caregivers Mary Jo Briones, Aisha Aris, and Sara Vela with 10 children all 4-5 years old.
2 9 PRESCHOOL Caregivers Brittney Rodgers and Serene Gee with 9 children all 3-5 years old.
1 5 PRESCHOOL Caregiver Freshelle Asberry with 5 children all 3-5 years old.
2 7 PRESCHOOL Caregiver Anna Gordon and Amiya Fayne with 7 children all 3-5 years old.
2 11 PRESCHOOL Caregivers Jenny Anderson and Tywanna Solivan with 11 children all 3-5 years old.
2 12 PRESCHOOL Caregivers Kaylee Cantwell and Bryan Carpenter with 12 children all 3-5 years old.
2 8 PRESCHOOL Caregiver Rosetta Burnett and Maxine Greer with 8 children all 3-5 years old.
2 9 PRESCHOOL Caregivers Debra McCraney Jones and Felicia Rattler with 9 children all aged 3-5 years old.
2 16 PRESCHOOL Caregivers Donya James and Evette Stillwell with 16 children all 3-5 years old.
12

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 walls located in purple 2 and KCPS 1 was/were not in good condition as evidenced by in purple 2- paint chipping by window, and in KCPS 1 by the whiteboard,.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
12/12/2023
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
Violation
 Provider Comments
Violation
Furniture/equipment, flower rug, in Orange 3B was unsafe as evidenced by rug is coming up on 2 sides that is causing a tripping hazard.
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
12/12/2023
Violation
Furniture/equipment, fake sink, in Hogan 1 was not in good condition as evidenced by handle bar is hanging off and not attached.
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
12/12/2023
Violation
Furniture/equipment, white shelving unit, in Orange 3A was not in good condition as evidenced by chipping paint and wood.
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
12/12/2023
Violation
Furniture/equipment, shelves, backs of chairs, and other wood surfaces, in approximately all the rooms in purple, green, blue, orange, and yellow was not in good condition as evidenced by residue on the equipment.
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

Violation
Outdoor equipment, 2 radio flyer tricycles, in the infant playground lower level was unsafe as evidenced by missing handle bars leaving a hole where the children can put their hands in.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor 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
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date
12/12/2023
Violation
Outdoor equipment, 3 blue tricycles, in the preschool lower level playground was not in good condition as evidenced by chipping paint and rusting.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor 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
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date
12/12/2023
Violation
Furniture/equipment, shelving unit, in Purple 5 was not in good condition as evidenced by a hole in the back of the cabinet creating a hole with sharp edges if the children were to reach in.
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

Violation
Furniture/equipment, toy fridge handle, in Purple 4 was not in good condition as evidenced by falling off and will cause a pinch if children play with it.
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
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: Jane Bishop-Deegan needs 12 hours, Allissa Patton needs 6 hours, Issabell Phillippi needs 2 hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

Violation
Kennedy Abbott, Peyton Brasfield, Aisha Arij, Bryan Carpenter, Shaniequa Johnson, Mikayla McNeal, Aimee Patterson, and Dorothy Weaver. Aimya Fayne and Tywanna Solvian were both corrected on site. 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
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by 5 children, ages 8 mon-13 mon, were cared for by 1 caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;
Correction Required
Correct staff/child ratios and group size shall be maintained.

Correction Verification
Return Inspection

Compliance Date

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
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
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
Not Observed
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 older than five (5) years for Cecilia Griffith.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years.
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