DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT
Facility Information






 




 








 
Inspection Information








DocumentDocument-Date
APPLICATION 07/31/2019
CHILD CARE PRACTICES 08/02/2019
DAILY SCHEDULE 08/02/2019
DIAGRAM/INDOOR 08/02/2019
DIAGRAM/OUTDOOR 08/02/2019
DIRECTOR'S QUALIFICATIONS 08/02/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/02/2019
DISCIPLINE POLICIES 08/02/2019
JOB RESPONSIBILITIES 08/02/2019
LINES OF ADMINISTRATIVE AUTHORITY 08/02/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 08/02/2019
POLICIES 08/02/2019
SAMPLE FORMS 08/02/2019
SAMPLE WEEKLY MENU 08/02/2019
STAFF SHEET 08/02/2019
ARTICLES OF INCORPORATION 08/02/2019
CERTIFICATE OF GOOD STANDING 08/02/2019
EQUIPMENT LIST 07/25/2023
ANNUAL DECLARATION 07/25/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/25/2023




Compliance Licensing Rules
Open Violations:
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
StaffChildClass AgeNote
2 0 NO CHILDREN IN ATTENDANCE Rebekah Baumann, program manager, and Elora Bossert, site coordinator, were present with no children.
1 4 SCHOOL AGE Zafara Strain, teacher, was present with four children, aged 11-years old to 12-years old. Eddie Kirumira, practicum student was also present in the room but not counted in ratio.
1 7 SCHOOL AGE Ty Harris, teacher, was present with seven children, aged 10-years old to 11-years old, Jennifer Bardelmeier, volunteer, and AJ Zylstra, staff, were present but not counted in ratio.
1 4 SCHOOL AGE Nassir Whitley, teacher, was present with four children, aged 13-years old to 14-years old.
1 13 SCHOOL AGE Brandon Elliot, teacher, was present with thirteen children, aged 8-years old to 10-years old. Samone Covington, program aide, was present but not counted in staff/child ratio
1 9 SCHOOL AGE Noah Roderigez, teacher, was present with nine children, aged 12-years old to 13-years old. Alexis Bratton, program aide and Deja Miller, school teacher, were present but not counted in staff/child ratio.
1 7 SCHOOL AGE Kiara Hallinan, teacher, was present with seven children, aged 9-years old to 11-years old. Esmee Vong, program aide, was present but not counted in staff/child ratio.

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
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
Requirements of the facility's participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The director is not routinely on duty, as evidenced by there was no proof of the director signing in for 50% of the operating hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 2. states: Center directors and group child care home providers routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group child care home provider shall be on duty at least fifty percent (50%) of the operating hours.
Correction Required
The director/group home provider shall be routinely on duty, as required.

Correction Verification
Submit Documentation

Compliance Date

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 25-500.172 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