DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

PAPER MOON NURSERY LLC

002692706

(573) 289-2151

551 SOUTHAMPTON DR
COLUMBIA
MO  65203-3057

PAPER MOON NURSERY LLC



 

CARTER, ASHLYNN

director@papermoonelc.com


LU A GAINES

BIRTH - 2 YEARS

8

FAMILY HOME

UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 8 CHILDREN IN CARE NO MORE THAN 2 UNDER 2 W/ 1 CAREGIVER
 
Inspection Information

03/05/2024

1:24 PM

3:24 PM

UNANNOUNCED

COMPLIANCE MONITORING

2465565632


DocumentDocument-Date
ASSISTANT APPROVAL REQUEST 03/06/2018
ARTICLES OF INCORPORATION 01/19/2018
CHILD CARE/DISCIPLINE POLICIES 03/06/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/06/2018
DIAGRAM/INDOOR 03/06/2018
POLICIES 02/08/2018
DAILY SCHEDULE 02/08/2018
LLC OPERATING AGREEMENT 03/06/2018
SAFE SLEEP POLICY 02/08/2018
SAMPLE FORMS 02/08/2018
OWNER/PROVIDER REFERENCES 03/06/2018
SAMPLE WEEKLY MENU 02/08/2018
LLC ARTICLES OF ORGANIZATION 01/19/2018
APPLICATION 11/20/2019
SANITATION INSPECTION 01/26/2024
EQUIPMENT LIST 03/04/2024
FIRE/SAFETY INSPECTION 01/24/2024
ANNUAL DECLARATION 03/04/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/04/2024
DIAGRAM/OUTDOOR 03/16/2018
LICENSING ORIENTATION 03/06/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 5
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 2
Total Children 7
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Staff Angela Ramshead and Gracee Gooding present with children ages 3 months - 16 months old.

 
5 CSR 25-400.025 Organization and Administration
Violation
 Provider Comments
Violation
The family child care home is owned by a legal entity and did not designate a person to be responsible for the daily operation of the facility and to meet the requirements of the child care provider .
Licensing Rule Reference
5 CSR 25-400.025 Organization and Administration (2) states: If a family child care home is owned by a legal entity, the legal entity shall designate a person to be responsible for the daily operation of the facility and to meet the requirements of the child care provider. The department shall be notified in writing immediately if there is a change of the person designated to be responsible for the daily operation of the facility and to meet the requirements of the child care provider.
Correction Required
The legal entity shall designate a person responsible for the daily operation of the facility and notify the department immediately when there is a change.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-400.045 Licensing Process
Compliance
5 CSR 25-400.055 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Jackie Nichols, Megan Barte, Amanda Smith and Lillie Liebhart. within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
 Provider Comments
Violation
Lighting requirements for rooms used by children were not met as evidenced by lighting was insufficient to observe and supervise children in the main room where children were napping, all lights were turned off, the windows and doors were completely covered and did not provide enough light to observe and supervise sleeping children in their cribs at the back right hand section of the facility close to the stairs.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 4. states: Artificial or natural lighting shall supply at least ten (10) foot candles of light throughout each room used for child care.
Correction Required
Rooms used by children shall be equipped with required lighting.

Correction Verification
Corrected on Site

Compliance Date
3/5/2024
5 CSR 25-400.086 Fire Safety
Compliance
5 CSR 25-400.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-400.095 Furniture, Equipment and Materials
Compliance
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Violation
 Provider Comments
Violation
The provider did not conduct a Family Care Safety Registry screening for Gracee Gooding, who was hired on 02/27/2024.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Lillie Liebhart needs 3 approved clock hours.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. 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

5 CSR 25-400.115 Child Care Family and Household
Compliance
5 CSR 25-400.125 Medical Examination Reports
Compliance
5 CSR 25-400.135 Admission Policies and Procedures
Compliance
5 CSR 25-400.145 Nighttime Care
Not Observed
5 CSR 25-400.155 Overlap Care of Children
Not Observed
5 CSR 25-400.165 Emergency School Closings
Not Observed
5 CSR 25-400.175 Child Care Program
Compliance
5 CSR 25-400.185 Health Care
Compliance
5 CSR 25-400.190 Nutrition and Food Service
Compliance
5 CSR 25-400.200 Transportation and Field Trips
Not Observed
5 CSR 25-400.210 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Gracee Gooding, start date 02/27/2024.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance