DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

THE NURTURING PLACE

002863692

(417) 833-0121

3039 N NATIONAL AVE
SPRINGFIELD
MO  65803-4422

TULACH MANAGEMENT SVCS LLC



 

EPPS, MERCEDES LACOSTA

delaceymiller@gmail.com


ELAINE S COX

BIRTH - 13 YEARS

84

GROUP HOME AND CENTER

 
Inspection Information

12/21/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2461328964


DocumentDocument-Date
DISCIPLINE POLICIES 12/08/2020
JOB RESPONSIBILITIES 12/08/2020
DIAGRAM/INDOOR 12/08/2020
DIAGRAM/OUTDOOR 12/08/2020
CHILD CARE PRACTICES 12/08/2020
DAILY SCHEDULE 12/08/2020
SAMPLE WEEKLY MENU 12/08/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/08/2020
SAFE SLEEP POLICY 12/08/2020
LICENSING ORIENTATION 12/09/2020
LINES OF ADMINISTRATIVE AUTHORITY 12/08/2020
REGISTERING FICTITIOUS NAMES 12/02/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 12/21/2020
LLC OPERATING AGREEMENT 12/21/2020
POLICIES 12/08/2020
SAMPLE FORMS 12/08/2020
LLC ARTICLES OF ORGANIZATION 12/02/2020
LOCAL ZONING APPROVAL 12/21/2020
DIRECTOR'S QUALIFICATIONS 12/21/2020
LOCAL BUILDING APPROVAL 12/15/2021
SANITATION INSPECTION 10/23/2023
EQUIPMENT LIST 10/10/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/10/2023
ANNUAL DECLARATION 10/11/2023
CERTIFICATE OF GOOD STANDING 12/11/2023
SANITATION INSPECTION 10/23/2023
FIRE/SAFETY INSPECTION 09/19/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   9/1/2021



Inspection determined facility to be in compliance with licensing rules.
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

 
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
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located against the wall, and the caregiver would have their backs to the group in both of the infant/toddler rooms.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date
12/20/2023
Violation
The observed surface area under slide/climber, from which a child might fall consists of bare soil.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.
Correction Required
The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

Correction Verification
Submit Documentation

Compliance Date
12/21/2023
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
Outdoor equipment, climber with slide and rocking horse, in the play yard was not free of sharp parts as evidenced by the plastic climbing handles on the climber/slide are broken and the plastic rocking horse has a hole in it's head that is sharp.
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
12/21/2023
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