DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SMALL WONDERS CHILDCARE CENTER NORTH, LLC

002985882

(636) 548-8173

4215 OLD STATE ROUTE 21
IMPERIAL
MO  63052-1115

SMALL WONDERS CHILDCARE CENTER NORTH, LLC



 

BROWN, REBECCA LYNN

LESLIE@YOURSMALLWONDERS.COM


BRITTANY HECHT

BIRTH - 12 YEARS

60

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

01/18/2024

9:30 AM

2:58 PM

ANNOUNCED

COMPLIANCE MONITORING

2462821787


DocumentDocument-Date
CHILD CARE PRACTICES 11/29/2022
DISCIPLINE POLICIES 11/29/2022
LINES OF ADMINISTRATIVE AUTHORITY 12/12/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/18/2024
LLC ARTICLES OF ORGANIZATION 11/29/2022
DIAGRAM/INDOOR 12/12/2022
DIAGRAM/OUTDOOR 12/12/2022
DIRECTOR'S QUALIFICATIONS 12/12/2022
POLICIES 11/29/2022
SAFE SLEEP POLICY 12/12/2022
FIRE/SAFETY INSPECTION 11/03/2023
JOB RESPONSIBILITIES 12/12/2022
SAMPLE WEEKLY MENU 11/29/2022
APPLICATION 01/10/2023
DAILY SCHEDULE 01/10/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/10/2023
LLC OPERATING AGREEMENT 01/10/2023
SAMPLE FORMS 01/10/2023
EQUIPMENT LIST 01/18/2024
LICENSING ORIENTATION 12/12/2022
LOCAL BUILDING APPROVAL 12/12/2022
LOCAL ZONING APPROVAL 12/12/2022
LOCAL FIRE DEPARTMENT NOTIFICATION 01/03/2023
SANITATION INSPECTION 11/30/2023
ANNUAL DECLARATION 01/18/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance 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 11
Total Children 19
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Skylar Bross & Rachel Stockinger, Caregivers 7 - 11-23 Month Olds
2 6 MIXED Gabrielle Thornhill, Caregiver Anna Holland, First Steps Therapist 3 - 2 Year Olds 3 - 3 Year Olds
3 0 NO CHILDREN IN ATTENDANCE Becky Brown, Director Marcy Wokurka & Annette Vaughn, Managing Members
1 0 NO CHILDREN IN ATTENDANCE Jordan Alcla, Cook
1 0 NO CHILDREN IN ATTENDANCE Debbie Mogg, Caregiver
1 0 NO CHILDREN IN ATTENDANCE Trisha Short, Caregiver
1 6 PRESCHOOL Heather Mini, Caregiver 6 - 3 & 4 Year Olds

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 premises were not safe and suitable as evidenced by the Emergency Exit Door in the upstairs Preschool Room on the left did not open or close easily.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date

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 I/T Playground fence was leaning in on the left run of the fence.
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
Submit Documentation

Compliance Date

5 CSR 25-500.087 Fire Safety
Violation
 Provider Comments
Violation
The door, located in the I/T Unit, used as an exit from the facility was locked.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor.
Correction Required
Exit doors shall not be locked/impede exit from the building.

Correction Verification
Corrected on Site

Compliance Date
1/18/2024
Violation
The door, located in the Early Preschool Room, used as an exit from the facility was locked.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor.
Correction Required
Exit doors shall not be locked/impede exit from the building.

Correction Verification
Corrected on Site

Compliance Date
1/18/2024
Violation
The door, located in the upstairs Preschool Room on the left, used as an exit from the facility was locked.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor.
Correction Required
Exit doors shall not be locked/impede exit from the building.

Correction Verification
Corrected on Site

Compliance Date
1/18/2024
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
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: Destiny Jaimet.
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

Violation
Medical examination report form did not contain all required information as evidenced by the incorrect Medical Exam Report Form was used (different department).
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff 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
Medical reports shall be 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
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