DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OPERATION BREAKTHROUGH, INC.

002601581

(816) 437-9745

3737 TROOST AVE
KANSAS CITY
MO  64109-2658

OPERATION BREAKTHROUGH, INC.

3039 TROOST AVE
KANSAS CITY
MO  64109-1540

TATUM, TRICIA JEAN

triciat@operationbreakthrough.org

Incorporated

ROBYN EMBREE

6 WEEKS - 5 YEARS

24

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS
 
Inspection Information

03/04/2024

10:50 AM

11:34 AM

UNANNOUNCED

COMPLIANCE MONITORING

2465435042


DocumentDocument-Date
SAMPLE WEEKLY MENU 09/14/2016
DIAGRAM/INDOOR 09/14/2016
DIRECTOR'S QUALIFICATIONS 09/29/2016
DIAGRAM/OUTDOOR 09/14/2016
CHILD CARE PRACTICES 09/14/2016
DAILY SCHEDULE 09/14/2016
DISCIPLINE POLICIES 09/14/2016
JOB RESPONSIBILITIES 09/14/2016
POLICIES 09/14/2016
LINES OF ADMINISTRATIVE AUTHORITY 09/14/2016
REGISTERING FICTITIOUS NAMES 07/05/2016
STAFF SHEET 08/13/2018
APPLICATION 07/31/2018
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/17/2023
FIRE/SAFETY INSPECTION 11/01/2022
SANITATION INSPECTION 03/15/2023
ANNUAL DECLARATION 11/17/2023
EQUIPMENT LIST 11/20/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 2
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 7
Total Children 13
StaffChildClass AgeNote
2 4 INFANTS AND TODDLERS Bene Ford-Mitchel and Kiara Clark (both staff) present with four children age 6 months - 1 year.
1 3 MIXED Natalie Christensen (staff) present with three children age 1-2 years.
2 6 MIXED Lindsey Rossel and June Gilkey (both staff) present with six children age 2-3 years.
1 0 NO CHILDREN IN ATTENDANCE Tricia Tatum (director) present with no children in attendance.
1 0 NO CHILDREN IN ATTENDANCE Rosie Merrit-Diggs (staff) present with no children in attendance.

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
Violation
 Provider Comments
Violation
The annual sanitation inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date
3/15/2023
Violation
The annual fire safety inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The walls located located behind door to offices was/were not in good condition as evidenced by hole in the wall.
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

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
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: Mierre Bledsoe needs 12 hours, Rosie Merritt Diggs needs 12 hours,Veda WIlliams needs 12 hours,June Gilkey needs 7 hours, Lindsay Rossel needs 12 hours and Coura Thiam needs 12 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
3/4/2024
Violation
Safe sleep training was not completed within the past 3 years for the following staff Jordae Ferguson, June Gilkey, Lindsey Rossel, Tricia Tatum, and Coura Thiam.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date
3/4/2024
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Not Observed
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
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
Compliance
5 CSR 25-500.222 Records and Reports
Not Observed
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