DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ADVOCATES FOR A HEALTHY COMMUNITY, INC.

002947093

(417) 851-1560

2020 EVERGREEN PKWY
LEBANON
MO  65536-4611

ADVOCATES FOR A HEALTHY COMMUNITY, INC.

440 E TAMPA ST
SPRINGFIELD
MO  65806-1131

MILLER, BRITTANY NICOLE

earlychildhood@jordanvalley.org


ALLA GERASIMOVA

6 WEEKS - 12 YEARS

60

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

03/13/2024

9:20 AM

11:31 AM

UNANNOUNCED

COMPLIANCE MONITORING

2466239868


DocumentDocument-Date
POLICIES 08/11/2022
DIAGRAM/INDOOR 04/11/2022
DIAGRAM/OUTDOOR 04/11/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/24/2022
LINES OF ADMINISTRATIVE AUTHORITY 08/11/2022
ARTICLES OF INCORPORATION 04/11/2022
JOB RESPONSIBILITIES 08/11/2022
CERTIFICATE OF GOOD STANDING 04/11/2022
REGISTERING FICTITIOUS NAMES 04/11/2022
CHILD CARE PRACTICES 06/06/2022
DISCIPLINE POLICIES 06/06/2022
LICENSING ORIENTATION 06/13/2022
FIRE/SAFETY INSPECTION 08/25/2023
LOCAL BUILDING APPROVAL 04/27/2022
LOCAL FIRE DEPARTMENT NOTIFICATION 08/30/2022
LOCAL ZONING APPROVAL 04/07/2022
SAMPLE FORMS 08/11/2022
SANITATION INSPECTION 08/26/2022
APPLICATION 08/23/2022
EQUIPMENT LIST 08/24/2022
SAMPLE WEEKLY MENU 08/24/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/11/2022
DAILY SCHEDULE 08/24/2022
DIRECTOR'S QUALIFICATIONS 04/14/2022
SAFE SLEEP POLICY 08/11/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   9/7/2023



Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: NA
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 13
Total Children 41
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS Caregivers Becky Andersen and Kayla Allman present with five toddlers all age 1 year old.
2 13 MIXED Caregivers Korrie Brinton and Baleigh Livings present with thirteen children, including eleven 2 years old and two 3 years old children.
5 0 NO CHILDREN IN ATTENDANCE Brittney Miller - a director, Tracy Chapman - a food/nutrition supervisor, Atisha Rodger-a classroom aid, Shelby Rothwell-a community health worker, Megan Horn -a lead teacher and community health worker are present with no children in attendance.
2 10 PRESCHOOL Caregivers Chloe Kelm and Makayla Lahey present with ten children ages 4-5 years old.
2 13 PRESCHOOL Caregivers Santana Emmons and Jona Richardson present with thirteen children ages 3-4 years old.

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 requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 4-5 years old classroom and in a hallway that is used for a passage of the children.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
3/13/2024
Violation
Hazardous items as follows were accessible to children: carpet spotter, window cleaner and Clorox cleaner. The item(s) was/were located in an unlocked cabinet under the sink in 3-4 years old classroom within children's reach.
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
3/13/2024
Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located inside the bathroom of 2 years old classroom.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Corrected on Site

Compliance Date
3/13/2024
Violation
Hazardous items as follows were accessible to children: Clorox wipes , Air Freshener spray and large hand sanitizer that contains alcohol. The item(s) was/were located on the shelf in the children's bathroom inside the 2's classroom within children's reach.
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
3/13/2024
Violation
Hazardous items as follows were accessible to children: plastic Walmart plastic bags that present possible choking hazards if inhaled by the child. The item(s) was/were located in an unlocked cabinet under the sink in 4-5 years old classroom within children's reach. The same plastic bags were located on the low shelf in the bathroom of 2-3 years old classroom within children's reach.
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
3/13/2024
Violation
Hazardous items as follows were accessible to children: a phone charger with a cord that presents possible strangulation hazards. The item(s) was/were located in an unlocked cabinet of the 3-4 years old classroom within children's reach.
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
3/13/2024
Violation
Hazardous items as follows were accessible to children: a screwdriver. The item(s) was/were located in an unlocked top drawer in infants/toddlers classroom.
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
3/13/2024
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
Compliance
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 25-500.142 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