DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

TODDLER'S INK LLC

002030546

(573) 642-4444

6637 MIRANDA LOOP
FULTON
MO  65251-7401

TODDLER'S INK LLC

5706 COUNTY ROAD 335
FULTON
MO  65251-5272

GRAVES, HEATHER JO

toddlersinkllc@msn.com


JOY LYNN NICHOLS

BIRTH - 12 YEARS

88

GROUP HOME AND CENTER

24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

05/07/2024

10:40 AM

1:36 PM

UNANNOUNCED

COMPLIANCE MONITORING

2470081993


DocumentDocument-Date
FIRE/SAFETY INSPECTION 04/02/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/24/2024
EQUIPMENT LIST 04/24/2024
ANNUAL DECLARATION 04/24/2024
DIAGRAM/INDOOR 09/09/2013
LINES OF ADMINISTRATIVE AUTHORITY 04/30/2007
JOB RESPONSIBILITIES 04/30/2007
DISCIPLINE POLICIES 04/30/2007
DIAGRAM/OUTDOOR 04/30/2007
DAILY SCHEDULE 04/30/2007
CHILD CARE PRACTICES 04/30/2007
LLC ARTICLES OF ORGANIZATION 04/30/2007
LOCAL BUILDING APPROVAL 04/30/2007
LOCAL FIRE DEPARTMENT NOTIFICATION 04/30/2007
LOCAL ZONING APPROVAL 04/30/2007
POLICIES 04/30/2007
SAMPLE WEEKLY MENU 04/30/2007
OWNER/PROVIDER REFERENCES 04/30/2007
SAMPLE FORMS 04/30/2007
APPLICATION 03/12/2019
STAFF SHEET 03/12/2019
DIRECTOR'S QUALIFICATIONS 02/05/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/09/2013
SAFE SLEEP POLICY 03/12/2019
LICENSING ORIENTATION 04/30/2007
LLC OPERATING AGREEMENT 03/12/2019
SANITATION INSPECTION 03/01/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  1:30PM   3:30PM   5/18/2022



Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 9
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 11
Total Children 54
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS children ages 3 months to 10 months; Sarilda Brady and Heather Huighe
2 7 INFANTS AND TODDLERS children ages 11 months to 19 months; Breanna Lewis and Sally Anderson
2 8 INFANTS AND TODDLERS children ages 20 months to 23 months; Alyssa Conn and Breanna Peters
2 17 MIXED children ages three to five; Emma Eliason and Tamera Vlad
3 16 MIXED children ages two and three; Tiffany Pierson, Brynna Clayton, and Elly Crum

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

Violation
The Family Care Safety Registry check was not conducted for Alexandra Trowbridge, Matti Trudo, Elly Crum, Emilee Hughes, Emilia Hilse, Cierra Graves, Taylor Mitchell, Allison Stroud, Breanna Lewis, Kayla Johnson, Emma Eliason, Crystal Trammell, Tiffany Pierson, Destiny Minix, Breanna Peters 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
Violation
 Provider Comments
Violation
The walls located in the main building classrooms was/were not finished with material which can be cleaned easily as evidenced by baseboards are missing. The facility is changing from painted walls to paneling on the lower half of the walls and the paneling has not yet been installed.
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
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Matti Trudo, Destiny Minix, and Breanna Peters
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include--
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

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: Elly Crum needs 5 hours, Matti Trudo needs 5 hours, and Allison Stroud needs 9 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

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Breanna Peters as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Tamera Vlad.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 7/1/23.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is 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. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Allison Stroud.
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