DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

000684068

(636) 481-5036

3251 HIGHWAY MM
GRAY SUMMIT
MO  63039

JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

2 MERCHANTS DR
HILLSBORO
MO  63050-5212

TEEMS, TIFFANY LEA

tteems@jfcac.org

Incorporated

LAUREN R RAYWARNKE

12 MONTHS - 5 YEARS

36

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

04/11/2024

10:45 AM

12:25 PM

UNANNOUNCED

COMPLIANCE MONITORING

2468223914


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 01/05/1995
JOB RESPONSIBILITIES 01/05/1995
ARTICLES OF INCORPORATION 09/20/2010
SAMPLE FORMS 08/16/2010
CHILD CARE PRACTICES 08/16/2010
SAMPLE WEEKLY MENU 03/03/2005
DAILY SCHEDULE 08/16/2010
DIAGRAM/OUTDOOR 08/07/2010
DIAGRAM/INDOOR 08/17/2010
LOCAL ZONING APPROVAL 09/24/2010
LOCAL BUILDING APPROVAL 09/30/2010
POLICIES 09/19/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/15/2018
DISCIPLINE POLICIES 08/16/2010
DIRECTOR'S QUALIFICATIONS 11/20/2018
STAFF SHEET 02/11/2019
APPLICATION 02/11/2019
CERTIFICATE OF GOOD STANDING 03/09/2021
ANNUAL DECLARATION 04/11/2024
EQUIPMENT LIST 04/11/2024
FIRE/SAFETY INSPECTION 01/30/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/11/2024
SANITATION INSPECTION 01/30/2024




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 10
Total Children 26
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Caregivers Casey Crawford and Shelby Ahart with 6 children, two children age 1 and four children age 2.
2 6 MIXED Caregiver Leslie Becker and Sarah Hoeff-Barry with 6 children, three children age 2 and three children age 3.
3 0 NO CHILDREN IN ATTENDANCE Additional staff present on the premises were director Tiffany Teems, cook Lacy Hood and Family Coach Candice Willingham with 0 children in the main office and kitchen.
3 14 PRESCHOOL Caregivers Veronica Padilla, Christine Lyerla and Kim Sobeck with 14 children ages 3 through 5 year's 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
Violation
 Provider Comments
Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Corrected on Site

Compliance Date
4/11/2024
Violation
The staff sheet was not fully completed as evidenced by the director had to contact the program operations coordinator for the annual documents to be sent to the location.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Corrected on Site

Compliance Date
4/11/2024
Violation
The Annual Declaration was not completed as evidenced by the director had to contact the program operations coordinator for the annual documents to be sent to the location.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Corrected on Site

Compliance Date
4/11/2024
Violation
The Family Care Safety Registry check was not conducted for Lesley Deason, Tiffany Teems and Lacy Hood within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 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 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
Requirements of facilities 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
Violation
 Provider Comments
Violation
Outdoor equipment, Blue Basketball Hoop with Net, in the toddler playground was not in good condition as evidenced by there was a small 3 inch diameter hole at the base of the basketball hoop with jagged edges around the edges of the hole. Children could become injured or put their fingers or hand in the hole.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Corrected on Site

Compliance Date
4/11/2024
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