DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MILLER, JENNIFER MARIE

002934356

(573) 248-8090

3103 MARKET ST
HANNIBAL
MO  63401-5740

MILLER, JENNIFER MARIE



 

ADKINS, DEVAN KAYE

growandlearn4@gmail.com


CHRISTINA BRUCE

BIRTH - 6 YEARS

28

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/08/2024

10:00 AM

11:37 AM

UNANNOUNCED

COMPLIANCE MONITORING

2465041992


DocumentDocument-Date
ANNUAL DECLARATION 07/07/2023
LICENSING ORIENTATION 06/12/2022
APPLICATION 07/07/2023
FIRE/SAFETY INSPECTION 04/24/2023
CHILD CARE PRACTICES 08/19/2022
DAILY SCHEDULE 08/19/2022
LINES OF ADMINISTRATIVE AUTHORITY 08/19/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/19/2022
EQUIPMENT LIST 08/04/2023
DIAGRAM/INDOOR 08/19/2022
JOB RESPONSIBILITIES 08/19/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/04/2023
DIAGRAM/OUTDOOR 08/19/2022
DISCIPLINE POLICIES 08/19/2022
LOCAL ZONING APPROVAL 08/19/2022
SAFE SLEEP POLICY 08/19/2022
DIRECTOR'S QUALIFICATIONS 08/23/2023
POLICIES 08/19/2022
SANITATION INSPECTION 04/05/2023
SAMPLE WEEKLY MENU 08/19/2022
SAMPLE FORMS 08/19/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 4
Total Children 24
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Amy Fazlo, staff, Tiffany Elliot , staff were present with 7 children ages 3 months to 22 months.
1 14 MIXED Taylor Decker, staff was present with 14 children ages 2 through 3 years old in the play yard area. 4 children age 2. Ms. Decker's inside group consists of 8 children with 4 children age 2.
1 3 MIXED Devan Miller-Adkins was present inside the building with 3 children ages 2 to 3 . 1 child age 2. Ms. Miller- Adkin's inside group consists of 9 children with 1 child age 2.

 
5 CSR 25-500.032 Organization and Administration
Not Observed
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 observed surface area under swing posts, from which a child might fall consists of concrete.
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

Violation
Hazardous items as follows were accessible to children: liquid Tylenol and hand sanitizer. The item(s) was/were located on the outside of bags in the children's cubbies.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
2/8/2024
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
Not Observed
5 CSR 25-500.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by 14 children , ages 2 through 3 on the playground, were cared for by 1 adult caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group.
Correction Required
Staff/child ratios and group sizes shall be maintained at all times.

Correction Verification
Corrected on Site

Compliance Date
2/8/2024
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
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
Not Observed
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
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance